MARK P NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

MARK P

Last Name

NELSON

Suffix

Business Name

MARK P NELSON MD

Original Issue Date

08/13/1986

Effective Date

06/24/2020

Expiration Date

07/31/2023

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023