DEAN P NICHOLAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

DEAN P

Last Name

NICHOLAS

Business Name

DEAN P NICHOLAS

Original Issue Date

10/03/1986

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025