NEIL ROBERT NELSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025215

License Status

EXPIRED

Business

Title

First Name

NEIL

Middle

ROBERT

Last Name

NELSON

Business Name

NEIL ROBERT NELSON MD

Original Issue Date

05/29/1990

Effective Date

05/29/1990

Expiration Date

06/21/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006