NICOLE MARIE KNIFFIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

KNIFFIN

Suffix

DMD

Business Name

NICOLE MARIE KNIFFIN DMD

Original Issue Date

10/04/2010

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024