JENNIFER LEIGH NELSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057095

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

LEIGH

Last Name

NELSON

Business Name

JENNIFER LEIGH NELSON MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

03/13/2015