KEVIN T NELSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021153

License Status

ACTIVE

Business

First Name

KEVIN T

Last Name

NELSON

Suffix

DDS

Business Name

KEVIN T NELSON DDS

Original Issue Date

07/27/1988

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61604

Ever Disciplined

LastModifiedDate

08/28/2024