ROBERT A NIDEA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

ROBERT A

Last Name

NIDEA

Suffix

DDS

Business Name

ROBERT A NIDEA DDS

Original Issue Date

08/12/1991

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

VICTOR

State

Zip

14564

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/29/2024