BETH M NELSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

INACTIVE

Business

First Name

BETH M

Last Name

NELSON

Business Name

BETH M NELSON

Original Issue Date

08/12/1985

Effective Date

07/25/2018

Expiration Date

12/31/2021

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/28/2021