JESSICA DAWN NILSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075872

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

DAWN

Last Name

NILSEN

Business Name

JESSICA DAWN NILSEN MD

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/28/2020