PHILIP THOMAS NELSEN JR MD - Medical Doctor License in New York | # 036050853

PHILIP THOMAS NELSEN JR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050853

License Status

NOT RENEWED

Business

N

First Name

PHILIP THOMAS

Last Name

NELSEN JR

Suffix

MD

Business Name

PHILIP THOMAS NELSEN JR MD

Original Issue Date

03/21/1975

Effective Date

03/21/1975

Expiration Date

07/31/1984

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006