DOUGLAS BROCK NELSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062369

License Status

INACTIVE

Business

First Name

DOUGLAS BROCK

Last Name

NELSON

Suffix

Business Name

DOUGLAS BROCK NELSON MD

Original Issue Date

06/19/1981

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

YORBA LINDA

State

Zip

92886

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/08/2014