KENNETH S NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

KENNETH S

Last Name

NELSON

Suffix

Business Name

KENNETH S NELSON MD

Original Issue Date

11/05/1993

Effective Date

11/05/1993

Expiration Date

07/31/1996

City

DARIEN

State

Zip

60561

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020