NICHOLAS H PSIMOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

NICHOLAS H

Last Name

PSIMOS

Business Name

NICHOLAS H PSIMOS

Original Issue Date

08/10/1983

Effective Date

08/10/1983

Expiration Date

09/30/1992

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005