NICOLE L BREIDEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011346

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BREIDEL

Business Name

NICOLE L BREIDEL

Original Issue Date

06/29/2005

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/26/2024