NICHOLAS D IVES DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DMD

First Name

NICHOLAS

Middle

Last Name

IVES

Business Name

NICHOLAS D IVES DMD

Original Issue Date

06/22/2006

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024