MELISSA MARIE CONNELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000673

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARIE

Last Name

CONNELL

Business Name

MELISSA MARIE CONNELL

Original Issue Date

04/05/2006

Effective Date

09/11/2018

Expiration Date

01/31/2022

City

BLUFFTON

State

Zip

29910

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/09/2022