NICOLE E RUSSO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017956

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

RUSSO

Business Name

NICOLE E RUSSO

Original Issue Date

06/23/2023

Effective Date

05/21/2024

Expiration Date

09/30/2027

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

05/21/2024