CHARLES FREDERIC NICHOLS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010212

License Status

NOT RENEWED

Business

First Name

CHARLES FREDERIC

Last Name

NICHOLS

Business Name

CHARLES FREDERIC NICHOLS

Original Issue Date

10/03/1952

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/09/2007