NICHOLAS J TERSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001300

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

TERSE

Business Name

NICHOLAS J TERSE

Original Issue Date

09/07/2001

Effective Date

09/07/2001

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005