CLAIRE NICOLE FOREMAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002818

License Status

INACTIVE

Business

Title

DDS

First Name

CLAIRE

Middle

NICOLE

Last Name

FOREMAN

Business Name

CLAIRE NICOLE FOREMAN DDS

Original Issue Date

07/12/2017

Effective Date

08/09/2018

Expiration Date

12/31/2021

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Ever Disciplined

LastModifiedDate

12/16/2021