JENSEN NICOLE WILLIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016536

License Status

ACTIVE

Business

First Name

JENSEN

Middle

NICOLE

Last Name

WILLIS

Business Name

JENSEN NICOLE WILLIS

Original Issue Date

07/18/2019

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

WYOMING

State

Zip

61491

County

STARK

Ever Disciplined

LastModifiedDate

09/21/2024