MICHAEL J NICK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

NICK

Business Name

MICHAEL J NICK

Original Issue Date

09/13/1984

Effective Date

09/13/1984

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005