NELS E CALVERT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051199

License Status

INACTIVE

Business

First Name

NELS E

Last Name

CALVERT

Suffix

Business Name

NELS E CALVERT MD

Original Issue Date

07/10/1975

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/22/2023