JEFFREY E NIELSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

JEFFREY E

Last Name

NIELSEN

Suffix

Business Name

JEFFREY E NIELSEN MD

Original Issue Date

05/28/1992

Effective Date

05/28/1992

Expiration Date

07/31/1993

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020