DAVID NELSON WELLS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

Title

DMD

First Name

DAVID

Middle

NELSON

Last Name

WELLS

Business Name

DAVID NELSON WELLS DMD

Original Issue Date

08/12/2014

Effective Date

11/17/2015

Expiration Date

09/30/2018

City

GRAYVILLE

State

Zip

62844

County

WHITE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018