NICOLE A NIEWDACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030126

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

NIEWDACH

Suffix

DDS

Business Name

NICOLE A NIEWDACH DDS

Original Issue Date

03/16/2015

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

SAINT LOUIS

State

Zip

63124

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/31/2018