MARC HARRISON NELSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065543

License Status

CANCELLED

Business

Title

First Name

MARC

Middle

HARRISON

Last Name

NELSON

Business Name

MARC HARRISON NELSON MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

07/31/2018