DIANE C NIELSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

DIANE C

Last Name

NIELSEN

Suffix

Business Name

DIANE C NIELSEN MD

Original Issue Date

02/02/1993

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023