MAX M TEJEDA NICHOLS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

First Name

MAX M

Last Name

TEJEDA NICHOLS

Business Name

MAX M TEJEDA NICHOLS

Original Issue Date

05/01/2007

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

CHULA VISTA

State

Zip

91915

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/06/2024