ERIC WILLIAM NELSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049225

License Status

CANCELLED

Business

First Name

ERIC

Middle

WILLIAM

Last Name

NELSON

Suffix

Business Name

ERIC WILLIAM NELSON DO

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006