CLIFFORD GRANT NEILL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009127

License Status

INACTIVE

Business

First Name

CLIFFORD GRANT

Last Name

NEILL

Business Name

CLIFFORD GRANT NEILL

Original Issue Date

08/28/1946

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

06/06/2012