AMY L NICHOLAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010828

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

NICHOLAS

Business Name

AMY L NICHOLAS

Original Issue Date

10/15/2003

Effective Date

08/10/2012

Expiration Date

09/30/2015

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

04/25/2016