Nicole A Forgach
InactiveIllinois license 020010107
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020010107
- Status
- Inactive
- First issued
- August 14, 2001
- Expired
- September 30, 2012
- License holder
- Nicole A Forgach
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/30/2009
Contact
Novi, MI 48375