TAYLOR NICOLE ORTGIESEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013687

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

NICOLE

Last Name

ORTGIESEN

Business Name

TAYLOR NICOLE ORTGIESEN

Original Issue Date

07/14/2011

Effective Date

07/12/2012

Expiration Date

09/30/2015

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

04/25/2016