DANIEL ANTHONY NELSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056159

License Status

EXPIRED

Business

First Name

DANIEL

Middle

ANTHONY

Last Name

NELSON

Business Name

DANIEL ANTHONY NELSON

Original Issue Date

06/29/2009

Effective Date

06/29/2009

Expiration Date

06/28/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/29/2012