KENNETH J NELSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

KENNETH J

Last Name

NELSON

Suffix

Business Name

KENNETH J NELSON MD

Original Issue Date

05/24/1985

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

05/14/2023