AMANDA ALEXIS NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149667

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

ALEXIS

Last Name

NELSON

Business Name

AMANDA ALEXIS NELSON MD

Original Issue Date

06/13/2019

Effective Date

06/13/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021