NELSON B JACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036022768

License Status

NOT RENEWED

Business

First Name

NELSON B

Last Name

JACK

Suffix

Business Name

NELSON B JACK MD

Original Issue Date

09/14/1938

Effective Date

09/14/1938

Expiration Date

07/31/1984

City

DECATUR

State

Zip

62523

County

MACON

Ever Disciplined

LastModifiedDate

09/20/2006