MATTHEW PAUL NELSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000606

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

PAUL

Last Name

NELSON

Suffix

Business Name

MATTHEW PAUL NELSON DO

Original Issue Date

10/01/2003

Effective Date

10/01/2003

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/25/2006