License holder summary

NICOLE A THEILACKER is a Dental Assistant Certified To Perform Coronal Polishing licensed to practice in Alaska. The address on file for NICOLE A THEILACKER is 6942 CAMPOS AV UNIT D JBER AK 99506. This licensed professional license is current. The license was granted 01/23/2014 and expired on 12/31/2014.

Alaska

Division of Corporations, Business and Professional Licensing

NICOLE A THEILACKER
Dental Assistant Certified To Perform Coronal Polishing
License number
121
Date granted
01/23/2014
Date expires
12/31/2014
Class
Dental Assistant Certified To Perform Coronal Polishing
Status
Licensed
Address
6942 CAMPOS AV UNIT D JBER AK 99506
alaskalicensing.com
ID 20280583
LAST UPDATED 2024-03-29 17:13:16 UTC

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