ELIZABETH MATTES NIELSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

MATTES

Last Name

NIELSEN

Business Name

ELIZABETH MATTES NIELSEN MD

Original Issue Date

03/22/2019

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023