KEVIN T NELSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

KEVIN T

Last Name

NELSON

Suffix

DDS

Business Name

KEVIN T NELSON DDS

Original Issue Date

08/24/1988

Effective Date

12/03/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2024