RICHARD E NOSAL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

First Name

RICHARD E

Last Name

NOSAL

Suffix

DMD

Business Name

RICHARD E NOSAL DMD

Original Issue Date

01/01/1998

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/29/2024