THADEUS LEROY NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051523

License Status

NOT RENEWED

Business

First Name

THADEUS LEROY

Last Name

NELSON

Suffix

Business Name

THADEUS LEROY NELSON MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006