LATASHA DEON NELSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113971

License Status

ACTIVE

Business

First Name

LATASHA

Middle

DEON

Last Name

NELSON

Suffix

Business Name

LATASHA DEON NELSON MD

Original Issue Date

06/22/2005

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2023