DANIEL SHERMAN NIELSEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011505

License Status

INACTIVE

Business

First Name

DANIEL SHERMAN

Last Name

NIELSEN

Suffix

DDS

Business Name

DANIEL SHERMAN NIELSEN DDS

Original Issue Date

08/05/1959

Effective Date

08/05/1959

Expiration Date

09/30/1992

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005