PHILIP ANDREW NELSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041805

License Status

EXPIRED

Business

First Name

PHILIP

Middle

ANDREW

Last Name

NELSON

Suffix

Business Name

PHILIP ANDREW NELSON MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006