ELIZABETH C NELSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

ELIZABETH C

Last Name

NELSON

Business Name

ELIZABETH C NELSON

Original Issue Date

10/11/1985

Effective Date

10/11/1985

Expiration Date

09/30/1986

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005