WILLIAM LOUIS NICKEL DDS 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

WILLIAM

Middle

LOUIS

Last Name

NICKEL

Suffix

DDS

Business Name

WILLIAM LOUIS NICKEL DDS

Original Issue Date

08/04/1999

Effective Date

07/05/2018

Expiration Date

01/31/2022

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022