NICHOLAS MICHAEL BACOS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

MICHAEL

Last Name

BACOS

Business Name

NICHOLAS MICHAEL BACOS

Original Issue Date

11/27/2012

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024