THOMAS L NELSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

NELSON

Business Name

THOMAS L NELSON

Original Issue Date

04/22/1985

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022