DOUGLAS O NICHOLS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013037

License Status

NOT RENEWED

Business

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

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/08/2006