CHRISTEN J NIELSEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001781

License Status

INACTIVE

Business

First Name

CHRISTEN J

Last Name

NIELSEN

Business Name

CHRISTEN J NIELSEN

Original Issue Date

01/18/1996

Effective Date

01/18/1996

Expiration Date

09/30/2004

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/17/2005