NICHOLAS S FELLER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

Title

DMD

First Name

NICHOLAS

Middle

Last Name

FELLER

Business Name

NICHOLAS S FELLER DMD

Original Issue Date

09/19/2014

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024