CATHLEEN ANN NICK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

Title

DDS

First Name

CATHLEEN

Middle

ANN

Last Name

NICK

Business Name

CATHLEEN ANN NICK DDS

Original Issue Date

03/15/2021

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/10/2024