NICOLE EILEEN ELGER DMD Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000997

License Status

INOPERATIVE

Business

First Name

NICOLE

Middle

EILEEN

Last Name

ELGER

Suffix

DMD

Business Name

NICOLE EILEEN ELGER DMD

Original Issue Date

12/11/2017

Effective Date

07/03/2018

Expiration Date

12/31/2021

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

09/11/2021