TODD A NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

NELSON

Suffix

Business Name

TODD A NELSON MD

Original Issue Date

12/07/2001

Effective Date

12/07/2001

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011