KEVIN F NELSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

NELSON

Business Name

KEVIN F NELSON

Original Issue Date

10/08/2002

Effective Date

10/08/2002

Expiration Date

03/01/2006

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006