NICHOLAS S POLITO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

NICHOLAS S

Last Name

POLITO

Business Name

NICHOLAS S POLITO

Original Issue Date

08/23/1983

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024