RAY M NICHOLS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

RAY M

Last Name

NICHOLS

Business Name

RAY M NICHOLS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

EARLVILLE

State

Zip

60518

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005