NICHOLAS PETER MELLION DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

CANCELLED

Business

First Name

NICHOLAS PETER

Last Name

MELLION

Suffix

DDS

Business Name

NICHOLAS PETER MELLION DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005