ELIZABETH MATTES NIELSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

MATTES

Last Name

NIELSEN

Business Name

ELIZABETH MATTES NIELSEN MD

Original Issue Date

01/25/2019

Effective Date

01/25/2019

Expiration Date

09/30/2020

City

BROOKFIELD

State

Zip

53005

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021