AMANDA NICOLE NICHOLS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010827

License Status

ACTIVE

Business

First Name

AMANDA

Middle

NICOLE

Last Name

NICHOLS

Business Name

AMANDA NICOLE NICHOLS

Original Issue Date

10/15/2003

Effective Date

09/01/2024

Expiration Date

09/30/2027

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

09/01/2024