NICOLE LOUISE WHITTENBURG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018210

License Status

ACTIVE

Business

First Name

NICOLE

Middle

LOUISE

Last Name

WHITTENBURG

Business Name

NICOLE LOUISE WHITTENBURG

Original Issue Date

06/13/2024

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2024