BARBORA DVORAKOVA NELSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059118

License Status

EXPIRED

Business

Title

First Name

BARBORA

Middle

DVORAKOVA

Last Name

NELSON

Business Name

BARBORA DVORAKOVA NELSON DO

Original Issue Date

06/20/2011

Effective Date

06/20/2011

Expiration Date

06/19/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/13/2015