CHRISTOPHER L NELSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000452

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

NELSON

Business Name

CHRISTOPHER L NELSON

Original Issue Date

06/05/1991

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022