NICHOLAS C WOODWARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

WOODWARD

Suffix

DDS

Business Name

NICHOLAS C WOODWARD DDS

Original Issue Date

08/13/2009

Effective Date

08/08/2012

Expiration Date

09/30/2015

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016