DOUGLAS O NICHOLS DDS - Dentist License in Illinois | # 019013037

DOUGLAS O NICHOLS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013037

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS O

Last Name

NICHOLS

Suffix

DDS

Business Name

DOUGLAS O NICHOLS DDS

Original Issue Date

07/29/1966

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2006