DONNA J NIELSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

NIELSEN

Suffix

Business Name

DONNA J NIELSEN MD

Original Issue Date

10/23/2008

Effective Date

12/02/2011

Expiration Date

07/31/2014

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020