PHILLIP LOGAN NELSON JR. DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019036050

License Status

ACTIVE

Business

Title

DMD

First Name

PHILLIP

Middle

LOGAN

Last Name

NELSON JR.

Business Name

PHILLIP LOGAN NELSON JR. DMD

Original Issue Date

06/03/2025

Effective Date

06/03/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

ADAMS

Ever Disciplined

LastModifiedDate

04/08/2025