KAY M NELSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

KAY M

Last Name

NELSEN

Suffix

Business Name

KAY M NELSEN MD

Original Issue Date

03/11/1996

Effective Date

03/11/1996

Expiration Date

07/31/1999

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006