NICOLE RAE BENTON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013577

License Status

ACTIVE

Business

First Name

NICOLE

Middle

RAE

Last Name

BENTON

Business Name

NICOLE RAE BENTON

Original Issue Date

07/01/2011

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

MAPLE PARK

State

Zip

60151

County

KANE

Ever Disciplined

LastModifiedDate

09/16/2024