NICHOLAS W RUGGIERO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

NICHOLAS W

Last Name

RUGGIERO

Business Name

NICHOLAS W RUGGIERO

Original Issue Date

12/10/1986

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022