DIANA LAUREN NUCKOLS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013199

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

LAUREN

Last Name

NUCKOLS

Business Name

DIANA LAUREN NUCKOLS

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

09/30/2012

City

DE SOTO

State

Zip

62924

County

JACKSON

Ever Disciplined

LastModifiedDate

11/14/2012