NICOLE ANN KOERKENMEIER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014656

License Status

ACTIVE

Business

First Name

NICOLE

Middle

ANN

Last Name

KOERKENMEIER

Business Name

NICOLE ANN KOERKENMEIER

Original Issue Date

05/07/2014

Effective Date

07/15/2024

Expiration Date

09/30/2027

City

AVISTON

State

Zip

62216

County

CLINTON

Ever Disciplined

LastModifiedDate

07/15/2024