NICHOLAS JAMES POULOS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

Title

DDS

First Name

NICHOLAS

Middle

JAMES

Last Name

POULOS

Business Name

NICHOLAS JAMES POULOS DDS

Original Issue Date

12/05/2019

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60644

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/01/2024