BOYD EASTHAM NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

BOYD EASTHAM

Last Name

NELSON

Suffix

Business Name

BOYD EASTHAM NELSON MD

Original Issue Date

09/07/2001

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014