NICOLE RENEE HUMPHREY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008734

License Status

NOT RENEWED

Business

First Name

NICOLE RENEE

Last Name

HUMPHREY

Business Name

NICOLE RENEE HUMPHREY

Original Issue Date

07/16/1996

Effective Date

07/16/1996

Expiration Date

09/30/2002

City

OAK GROVE

State

Zip

55005

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005