KENNETH S NELSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015774

License Status

EXPIRED

Business

First Name

KENNETH S

Last Name

NELSON

Suffix

Business Name

KENNETH S NELSON MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/27/1985

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006