ADRIAN KATHLEEN NELSON - Physician Assistant License in Illinois | # 085005869

ADRIAN KATHLEEN NELSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005869

License Status

NOT RENEWED

Business

N

First Name

ADRIAN

Middle

KATHLEEN

Last Name

NELSON

Business Name

ADRIAN KATHLEEN NELSON

Original Issue Date

07/05/2016

Effective Date

02/23/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020