DAVID NELSON PIPER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

DAVID

Middle

NELSON

Last Name

PIPER

Business Name

DAVID NELSON PIPER

Original Issue Date

09/17/2013

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024