MARK WADE NIELSEN MD - Medical Doctor License in Iowa | # 036115004

MARK WADE NIELSEN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115004

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

WADE

Last Name

NIELSEN

Suffix

MD

Business Name

MARK WADE NIELSEN MD

Original Issue Date

12/16/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

IA

Ever Disciplined

N

LastModifiedDate

11/14/2011