ELESE NICOLE MCCLARIE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

Title

DMD

First Name

ELESE

Middle

NICOLE

Last Name

MCCLARIE

Business Name

ELESE NICOLE MCCLARIE DMD

Original Issue Date

09/05/2017

Effective Date

07/09/2018

Expiration Date

01/31/2022

City

PARIS

State

Zip

61944

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022