RICHARD D NELSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

RICHARD D

Last Name

NELSON

Suffix

DDS

Business Name

RICHARD D NELSON DDS

Original Issue Date

06/23/1993

Effective Date

06/23/1993

Expiration Date

09/30/1998

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005