NICHOLE LANA KANE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012103

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

LANA

Last Name

KANE

Business Name

NICHOLE LANA KANE

Original Issue Date

06/19/2007

Effective Date

07/05/2012

Expiration Date

09/30/2015

City

TAOS

State

Zip

87571

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

04/25/2016