NICHOLAS ALEXANDER DALLAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

ALEXANDER

Last Name

DALLAS

Business Name

NICHOLAS ALEXANDER DALLAS

Original Issue Date

01/02/2009

Effective Date

01/01/2022

Expiration Date

09/30/2024

City

MILWAUKEE

State

Zip

53211

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025