REBECCA RAE NIDA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014637

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

RAE

Last Name

NIDA

Business Name

REBECCA RAE NIDA

Original Issue Date

03/25/2014

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

SAINT JOHN

State

Zip

46373

County

LAKE

Ever Disciplined

LastModifiedDate

10/31/2018