NICHOLAS JAMES PERINO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000229

License Status

NOT RENEWED

Business

First Name

NICHOLAS JAMES

Last Name

PERINO

Suffix

DDS

Business Name

NICHOLAS JAMES PERINO DDS

Original Issue Date

02/15/1990

Effective Date

02/15/1990

Expiration Date

09/30/1992

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/13/2005