NELSON LO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

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

07/15/2008

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009