ALISON FOSTER NEELY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

Title

DMD

First Name

ALISON

Middle

FOSTER

Last Name

NEELY

Business Name

ALISON FOSTER NEELY DMD

Original Issue Date

02/04/2020

Effective Date

02/04/2020

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022