KENNETH E NELSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044974

License Status

NOT RENEWED

Business

First Name

KENNETH E

Last Name

NELSON

Suffix

Business Name

KENNETH E NELSON DO

Original Issue Date

10/20/1971

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017