AMANDA E NELSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045499

License Status

EXPIRED

Business

First Name

AMANDA

Middle

Last Name

NELSON

Business Name

AMANDA E NELSON

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

09/22/2006