DEVAN TYLER NELSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085946

License Status

ACTIVE

Business

Title

First Name

DEVAN

Middle

TYLER

Last Name

NELSON

Business Name

DEVAN TYLER NELSON DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/23/2025