LEAH A NICHOLS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011186

License Status

ACTIVE

Business

First Name

LEAH

Middle

Last Name

NICHOLS

Business Name

LEAH A NICHOLS

Original Issue Date

10/01/2004

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/23/2024