NICOLE S TUCKER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010837

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

TUCKER

Business Name

NICOLE S TUCKER

Original Issue Date

10/22/2003

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/29/2024