BEVERLY PATRICIA NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

PATRICIA

Last Name

NELSON

Suffix

Business Name

BEVERLY PATRICIA NELSON MD

Original Issue Date

03/24/2003

Effective Date

03/24/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017