NICHOL D HOUSTON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

Title

DMD

First Name

NICHOL

Middle

Last Name

HOUSTON

Business Name

NICHOL D HOUSTON DMD

Original Issue Date

12/24/2001

Effective Date

12/24/2001

Expiration Date

09/30/2004

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005