JOHN A NELSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

INOPERATIVE

Business

First Name

JOHN A

Last Name

NELSON

Business Name

JOHN A NELSON

Original Issue Date

05/13/2002

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/02/2018