DONNA J NIELSEN 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

DONNA

Middle

Last Name

NIELSEN

Suffix

Business Name

DONNA J NIELSEN MD

Original Issue Date

09/27/2001

Effective Date

08/07/2017

Expiration Date

09/30/2020

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021