NICOLE ROSE KELLOGG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013679

License Status

ACTIVE

Business

First Name

NICOLE

Middle

ROSE

Last Name

KELLOGG

Business Name

NICOLE ROSE KELLOGG

Original Issue Date

07/13/2011

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2024