NICHOLS J LEVERING Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000018

License Status

NOT RENEWED

Business

First Name

NICHOLS

Middle

Last Name

LEVERING

Business Name

NICHOLS J LEVERING

Original Issue Date

06/08/1992

Effective Date

06/08/1992

Expiration Date

06/30/1995

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/13/2005