ANITA M NICHOLS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010610

License Status

INACTIVE

Business

First Name

ANITA

Middle

Last Name

NICHOLS

Business Name

ANITA M NICHOLS

Original Issue Date

06/17/2003

Effective Date

06/15/2009

Expiration Date

09/30/2012

City

GILSON

State

Zip

61436

County

KNOX

Ever Disciplined

LastModifiedDate

06/06/2012