NICHOLAS ANTHONY VIDEKA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

NICHOLAS ANTHONY

Last Name

VIDEKA

Business Name

NICHOLAS ANTHONY VIDEKA

Original Issue Date

08/24/1983

Effective Date

11/04/2021

Expiration Date

09/30/2024

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025