NICOLE M DYME Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

DYME

Business Name

NICOLE M DYME

Original Issue Date

10/23/2015

Effective Date

08/25/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2024