HALEY NICOLE HARTZLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015437

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

NICOLE

Last Name

HARTZLER

Business Name

HALEY NICOLE HARTZLER

Original Issue Date

06/28/2016

Effective Date

06/28/2016

Expiration Date

09/30/2018

City

MINONK

State

Zip

61760

County

WOODFORD

Ever Disciplined

LastModifiedDate

10/31/2018