NICOLE MARIE WALTER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012090

License Status

INACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

WALTER

Business Name

NICOLE MARIE WALTER

Original Issue Date

06/15/2007

Effective Date

06/19/2012

Expiration Date

09/30/2015

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/08/2015