SPENCER CHONG NICHOLSON - Dentist License in Illinois | # 019025594

SPENCER CHONG NICHOLSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025594

License Status

NOT RENEWED

Business

N

First Name

SPENCER

Middle

CHONG

Last Name

NICHOLSON

Business Name

SPENCER CHONG NICHOLSON

Original Issue Date

07/16/2001

Effective Date

06/07/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022