NICOLE R MEGLI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011097

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MEGLI

Business Name

NICOLE R MEGLI

Original Issue Date

07/27/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DEER GROVE

State

Zip

61243

County

WHITESIDE

Ever Disciplined

LastModifiedDate

11/08/2006