BRIAN SHAWN NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

SHAWN

Last Name

NELSON

Suffix

Business Name

BRIAN SHAWN NELSON MD

Original Issue Date

10/06/2008

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017