DONNA J NIELSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

DONNA

Middle

Last Name

NIELSEN

Suffix

Business Name

DONNA J NIELSEN MD

Original Issue Date

11/18/2015

Effective Date

09/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021