NICKY NEAL BERRY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016936

License Status

NOT RENEWED

Business

First Name

NICKY NEAL

Last Name

BERRY

Suffix

DDS

Business Name

NICKY NEAL BERRY DDS

Original Issue Date

08/30/1979

Effective Date

07/16/2018

Expiration Date

01/31/2022

City

COLUMBUS

State

Zip

43215

County

OHIO

Ever Disciplined

LastModifiedDate

05/09/2022