AMANDA NICOLE NIKHO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

Title

DMD

First Name

AMANDA

Middle

NICOLE

Last Name

NIKHO

Business Name

AMANDA NICOLE NIKHO DMD

Original Issue Date

06/11/2022

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024