RICHARD CLARENCE NELSON DDS - Dentist License in Pennsylvania | # 019013417

RICHARD CLARENCE NELSON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013417

License Status

INACTIVE

Business

N

First Name

RICHARD CLARENCE

Last Name

NELSON

Suffix

DDS

Business Name

RICHARD CLARENCE NELSON DDS

Original Issue Date

07/16/1968

Effective Date

07/16/1968

Expiration Date

09/30/1990

State

PA

Ever Disciplined

N

LastModifiedDate

10/12/2005