License holder summary

Russom, Nicole Christine is a Dental Hygienist licensed to practice in Missouri. The address on file for Russom, Nicole Christine is 12 Gray Hawk Dr , Winfield 63389. This licensed professional license is current. The license was granted 08/17/2004 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Russom, Nicole Christine
Dental Hygienist
License number
2004022641  
Date granted
08/17/2004
Date expires
11/30/2014
Class
Dental Hygienist
Status
Clear
Address
12 Gray Hawk Dr 
licensingmissouri.org
ID 2008791
LAST UPDATED 2026-05-23 21:10:56 UTC

This website is unaffiliated with the Division of Professional Registration. Please verify all information directly with the relevant official government authority.

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