NICOLE GRAVITT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017098

License Status

ACTIVE

Business

First Name

NICOLE

Last Name

GRAVITT

Business Name

NICOLE GRAVITT

Original Issue Date

10/20/2020

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/10/2024