NIKOL MANOV FEDIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

Title

DMD

First Name

NIKOL

Last Name

MANOV FEDIN

Business Name

NIKOL MANOV FEDIN DMD

Original Issue Date

09/30/2023

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024