MELVIN CHRISTIAN NIELSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009824

License Status

NOT RENEWED

Business

First Name

MELVIN CHRISTIAN

Last Name

NIELSEN

Suffix

DDS

Business Name

MELVIN CHRISTIAN NIELSEN DDS

Original Issue Date

12/06/1950

Effective Date

12/06/1950

Expiration Date

09/30/1994

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005