TAYLOR NICOLE ORTGIESEN - Dentist License in Illinois | # 020013687

TAYLOR NICOLE ORTGIESEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013687

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016