NICOLE M LIVERMORE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012310

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

LIVERMORE

Business Name

NICOLE M LIVERMORE

Original Issue Date

10/05/2007

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/19/2024