LAWRENCE E NELSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089481

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

Last Name

NELSON

Suffix

Business Name

LAWRENCE E NELSON DO

Original Issue Date

08/18/1994

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017