NICOLE MARIE KNIFFIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000801

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

KNIFFIN

Suffix

DMD

Business Name

NICOLE MARIE KNIFFIN DMD

Original Issue Date

10/25/2010

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

09/25/2024