PHILIP BARR NELSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

PHILIP BARR

Last Name

NELSON

Suffix

DDS

Business Name

PHILIP BARR NELSON DDS

Original Issue Date

01/01/1998

Effective Date

09/17/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016