NELS E CALVERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

NELS E

Last Name

CALVERT

Suffix

Business Name

NELS E CALVERT MD

Original Issue Date

02/11/1982

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020