SCOTT DAVID NELSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089429

License Status

INACTIVE

Business

First Name

SCOTT DAVID

Last Name

NELSEN

Suffix

Business Name

SCOTT DAVID NELSEN MD

Original Issue Date

08/12/1994

Effective Date

08/23/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/23/2023