NELS OWEN EWOLDSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025489

License Status

NOT RENEWED

Business

First Name

NELS

Middle

OWEN

Last Name

EWOLDSEN

Suffix

DDS

Business Name

NELS OWEN EWOLDSEN DDS

Original Issue Date

02/01/2001

Effective Date

07/16/2012

Expiration Date

09/30/2015

City

ROCKVILLE

State

Zip

47872

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016