JENNIFER M NELSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

NELSON

Business Name

JENNIFER M NELSON

Original Issue Date

09/13/2006

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021