JODI LOUISE NELSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070519

License Status

EXPIRED

Business

Title

First Name

JODI

Middle

LOUISE

Last Name

NELSON

Business Name

JODI LOUISE NELSON DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/11/2022