NICOLE MARIE KIEFER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016624

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

KIEFER

Business Name

NICOLE MARIE KIEFER

Original Issue Date

07/31/2019

Effective Date

06/29/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

06/29/2024