ELIZABETH MATTES NIELSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147784

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

MATTES

Last Name

NIELSEN

Business Name

ELIZABETH MATTES NIELSEN MD

Original Issue Date

12/03/2018

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/13/2023