JOHN MINICK NEELY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

Title

DMD

First Name

JOHN

Middle

MINICK

Last Name

NEELY

Business Name

JOHN MINICK NEELY DMD

Original Issue Date

02/04/2020

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024