NICOLE MARIE WALTER - Dentist License in Illinois | # 020012090

NICOLE MARIE WALTER

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012090

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

06/08/2015