NICHOLAS O GERARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

NICHOLAS O

Last Name

GERARD

Business Name

NICHOLAS O GERARD

Original Issue Date

12/23/1986

Effective Date

12/23/1986

Expiration Date

09/30/1988

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005