JOHN NELSON SCOTT DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

CANCELLED

Business

First Name

JOHN NELSON

Last Name

SCOTT

Suffix

DDS

Business Name

JOHN NELSON SCOTT DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005