PHILIP BARR NELSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015620

License Status

ACTIVE

Business

First Name

PHILIP BARR

Last Name

NELSON

Suffix

DDS

Business Name

PHILIP BARR NELSON DDS

Original Issue Date

07/13/1976

Effective Date

08/08/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

08/08/2024