NICOLE M GROSSMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017508

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

GROSSMAN

Business Name

NICOLE M GROSSMAN

Original Issue Date

01/20/2022

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

10/01/2024