NICOLAS K REEP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

NICOLAS

Middle

Last Name

REEP

Suffix

DDS

Business Name

NICOLAS K REEP DDS

Original Issue Date

06/08/2004

Effective Date

06/08/2004

Expiration Date

09/30/2006

City

CHARLESTON

State

Zip

61920

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2007