STEVEN ANDREW NELSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028625

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

ANDREW

Last Name

NELSON

Suffix

DDS

Business Name

STEVEN ANDREW NELSON DDS

Original Issue Date

06/01/2011

Effective Date

10/02/2012

Expiration Date

09/30/2015

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

02/08/2016