MICHAEL JOHN NIELSEN D D S Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014371

License Status

NOT RENEWED

Business

First Name

MICHAEL JOHN

Last Name

NIELSEN D D S

Business Name

MICHAEL JOHN NIELSEN D D S

Original Issue Date

07/12/1972

Effective Date

07/12/1972

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005