NINA L PERCEFULL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011548

License Status

NOT RENEWED

Business

First Name

NINA

Middle

Last Name

PERCEFULL

Business Name

NINA L PERCEFULL

Original Issue Date

09/01/2005

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/04/2025