THOMAS JOHN NIETUPSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012175

License Status

NOT RENEWED

Business

First Name

THOMAS JOHN

Last Name

NIETUPSKI

Suffix

DDS

Business Name

THOMAS JOHN NIETUPSKI DDS

Original Issue Date

12/04/1962

Effective Date

12/04/1962

Expiration Date

09/30/1990

City

DECATUR

State

Zip

62523

County

MACON

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1986000910

Action

Probation

Discipline Start Date

07/30/1987

Discipline End Date

07/30/1988