JOHN MINICK NEELY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001061

License Status

ACTIVE

Business

Title

DMD

First Name

JOHN

Middle

MINICK

Last Name

NEELY

Business Name

JOHN MINICK NEELY DMD

Original Issue Date

06/30/2020

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

CONSCIOUS SEDATION - PERMIT A

Ever Disciplined

LastModifiedDate

05/03/2024