NICOLAS ERIC KRAVANYA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

Title

DMD

First Name

NICOLAS

Middle

ERIC

Last Name

KRAVANYA

Business Name

NICOLAS ERIC KRAVANYA DMD

Original Issue Date

06/28/2006

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2024