ANN M NYKIEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

ANN M

Last Name

NYKIEL

Business Name

ANN M NYKIEL

Original Issue Date

03/27/1985

Effective Date

03/27/1985

Expiration Date

09/30/2002

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005