TANELLE MARIE NELSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014190

License Status

NOT RENEWED

Business

First Name

TANELLE

Middle

MARIE

Last Name

NELSON

Business Name

TANELLE MARIE NELSON

Original Issue Date

10/02/2012

Effective Date

10/02/2012

Expiration Date

09/30/2015

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016