PAUL RUSSELL A NICOTRA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013082

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

RUSSELL A

Last Name

NICOTRA

Suffix

DDS

Business Name

PAUL RUSSELL A NICOTRA DDS

Original Issue Date

01/04/1967

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022

Case Number

1988000465

Action

Probation

Discipline Start Date

10/14/1989

Discipline End Date

10/13/1992