NICOLE C CASTANEDA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012488

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

CASTANEDA

Business Name

NICOLE C CASTANEDA

Original Issue Date

06/20/2008

Effective Date

09/03/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018