License holder summary

Fallein, Nicole LeAnn is a Dental - Expanded Function - Restorative I licensed to practice in Missouri. The address on file for Fallein, Nicole LeAnn is 14600 NW 66th St , Camden Point 64152. This licensed professional license is current. The license was granted 06/06/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Fallein, Nicole LeAnn
Dental - Expanded Function - Restorative I
License number
2013017207  
Date granted
06/06/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
14600 NW 66th St 
licensingmissouri.org
ID 2031851
LAST UPDATED 2026-05-15 03:42:14 UTC

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