KIRK A NELSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073109

License Status

NOT RENEWED

Business

First Name

KIRK A

Last Name

NELSON

Suffix

Business Name

KIRK A NELSON DO

Original Issue Date

07/03/1986

Effective Date

07/03/1986

Expiration Date

07/31/1999

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

03/04/2015