AVERY NICOLE NELSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072607

License Status

EXPIRED

Business

Title

First Name

AVERY

Middle

NICOLE

Last Name

NELSON

Business Name

AVERY NICOLE NELSON MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

03/06/2024