NICHOLAS C KUGIA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

NICHOLAS C

Last Name

KUGIA

Suffix

DDS

Business Name

NICHOLAS C KUGIA DDS

Original Issue Date

10/18/1990

Effective Date

10/18/1990

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005