NICHOLAS JEFFREY BERNS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

JEFFREY

Last Name

BERNS

Business Name

NICHOLAS JEFFREY BERNS

Original Issue Date

06/14/2010

Effective Date

07/05/2012

Expiration Date

09/30/2015

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016