BRITTANY NICOLE NICHOLS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRITTANY

Middle

NICOLE

Last Name

NICHOLS

Business Name

BRITTANY NICOLE NICHOLS DMD

Original Issue Date

07/06/2016

Effective Date

07/06/2016

Expiration Date

09/30/2018

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018