MELANIE SHAW NESBITT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

Title

DDS

First Name

MELANIE

Middle

SHAW

Last Name

NESBITT

Business Name

MELANIE SHAW NESBITT DDS

Original Issue Date

09/17/2012

Effective Date

09/17/2012

Expiration Date

09/30/2015

City

MEMPHIS

State

Zip

38125

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016