MARK THEODORE NELSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024245

License Status

EXPIRED

Business

First Name

MARK

Middle

THEODORE

Last Name

NELSON

Suffix

Business Name

MARK THEODORE NELSON MD

Original Issue Date

06/24/1989

Effective Date

06/24/1989

Expiration Date

06/22/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006