NICOLE M KWAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014395

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

KWAK

Business Name

NICOLE M KWAK

Original Issue Date

07/23/2013

Effective Date

09/19/2018

Expiration Date

01/31/2022

City

SILVER LAKE

State

Zip

53170

County

LAKE

Ever Disciplined

LastModifiedDate

05/09/2022