KENNETH EVERETT NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039931

License Status

NOT RENEWED

Business

First Name

KENNETH EVERETT

Last Name

NELSON

Suffix

Business Name

KENNETH EVERETT NELSON MD

Original Issue Date

08/20/1965

Effective Date

08/20/1965

City

MARSHFIELD

State

Zip

54449

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006