EVANGELINE MC CA NELSON - Dentist License in Illinois | # 020000556

EVANGELINE MC CA NELSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000556

License Status

NOT RENEWED

Business

N

First Name

EVANGELINE MC CA

Last Name

NELSON

Business Name

EVANGELINE MC CA NELSON

Original Issue Date

11/30/1961

Effective Date

08/04/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012