ALEX LORD NYE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

Title

DMD

First Name

ALEX

Middle

LORD

Last Name

NYE

Business Name

ALEX LORD NYE DMD

Original Issue Date

05/19/2017

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

DEKALB

State

Zip

60115

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022