NICHOLAS W MISISCHIA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024458

License Status

NOT RENEWED

Business

First Name

NICHOLAS W

Last Name

MISISCHIA

Suffix

DMD

Business Name

NICHOLAS W MISISCHIA DMD

Original Issue Date

06/28/1997

Effective Date

06/28/1997

Expiration Date

09/30/2000

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005