NICOLE M ANDRES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013296

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

ANDRES

Business Name

NICOLE M ANDRES

Original Issue Date

07/07/2010

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

04/25/2016