NICHOLAS JOHN NELSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156414

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

JOHN

Last Name

NELSON

Business Name

NICHOLAS JOHN NELSON MD

Original Issue Date

04/05/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/06/2023