LUCAS NATHANIEL NELSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079629

License Status

CANCELLED

Business

Title

First Name

LUCAS

Middle

NATHANIEL

Last Name

NELSON

Business Name

LUCAS NATHANIEL NELSON MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/16/2022