MICHAEL JOHN NIELSEN D D S - Dentist License in Illinois | # 019014371

MICHAEL JOHN NIELSEN D D S

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014371

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005