PHILIP THOMAS NELSEN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050853

License Status

NOT RENEWED

Business

First Name

PHILIP THOMAS

Last Name

NELSEN JR

Suffix

Business Name

PHILIP THOMAS NELSEN JR MD

Original Issue Date

03/21/1975

Effective Date

03/21/1975

Expiration Date

07/31/1984

City

DELMAR

State

Zip

12054

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006