LATASHA DEON NELSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

LATASHA

Middle

DEON

Last Name

NELSON

Suffix

Business Name

LATASHA DEON NELSON MD

Original Issue Date

06/23/2005

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023