DAVID L NELSON DPM - Podiatrist License in Illinois | # 016004768

DAVID L NELSON DPM

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004768

License Status

INACTIVE

Business

N

First Name

DAVID

Middle

L

Last Name

NELSON

Suffix

DPM

Business Name

DAVID L NELSON DPM

Original Issue Date

05/20/1996

Effective Date

11/14/2016

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2016