NELSON LO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

NELSON

Last Name

Suffix

DDS

Business Name

NELSON LO DDS

Original Issue Date

07/15/2008

Effective Date

06/08/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012