NIKKOLE B PATTERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

Title

DDS

First Name

NIKKOLE

Middle

Last Name

PATTERSON

Business Name

NIKKOLE B PATTERSON DDS

Original Issue Date

07/17/2007

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025