NICOLE KRYSTEN CARR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

Title

DMD

First Name

NICOLE

Middle

KRYSTEN

Last Name

CARR

Business Name

NICOLE KRYSTEN CARR DMD

Original Issue Date

07/15/2023

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2024