MARQUITA NAISHA NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

Title

First Name

MARQUITA

Middle

NAISHA

Last Name

NELSON

Business Name

MARQUITA NAISHA NELSON MD

Original Issue Date

05/02/2016

Effective Date

05/04/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021