RALPH THEODORE NELSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010819

License Status

NOT RENEWED

Business

First Name

RALPH THEODORE

Last Name

NELSON

Suffix

DDS

Business Name

RALPH THEODORE NELSON DDS

Original Issue Date

11/30/1955

Effective Date

07/07/2015

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/31/2018