MICHAEL J NICK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

MICHAEL J

Last Name

NICK

Business Name

MICHAEL J NICK

Original Issue Date

06/25/2012

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2024