DAVID ALAN NIELSEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144377

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

ALAN

Last Name

NIELSEN

Business Name

DAVID ALAN NIELSEN DO

Original Issue Date

09/22/2017

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

CHARLOTTESVILLE

State

Zip

22911

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/30/2023