FERN P NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

FERN P

Last Name

NELSON

Suffix

Business Name

FERN P NELSON MD

Original Issue Date

10/19/1981

Effective Date

10/19/1981

Expiration Date

07/31/2002

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011