NICHOLE M BREITWEISER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011228

License Status

ACTIVE

Business

First Name

NICHOLE

Middle

Last Name

BREITWEISER

Business Name

NICHOLE M BREITWEISER

Original Issue Date

02/10/2005

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

09/30/2024