PAUL ANTHONY NISSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024630

License Status

NOT RENEWED

Business

First Name

PAUL ANTHONY

Last Name

NISSEN

Suffix

DDS

Business Name

PAUL ANTHONY NISSEN DDS

Original Issue Date

12/08/1997

Effective Date

07/19/2015

Expiration Date

09/30/2018

City

RANCHO MIRAGE

State

Zip

92270

Ever Disciplined

LastModifiedDate

10/31/2018