KENRAD EDWIN NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036854

License Status

NOT RENEWED

Business

First Name

KENRAD EDWIN

Last Name

NELSON

Suffix

Business Name

KENRAD EDWIN NELSON MD

Original Issue Date

09/13/1960

Effective Date

09/13/1960

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006