RAYMOND GERARD NIKODEM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029258

License Status

NOT RENEWED

Business

Title

DDS

First Name

RAYMOND

Middle

GERARD

Last Name

NIKODEM

Business Name

RAYMOND GERARD NIKODEM DDS

Original Issue Date

09/27/2012

Effective Date

09/27/2012

Expiration Date

09/30/2015

City

CHESTERFIELD

State

Zip

63005

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/08/2016