CHRISTOPHER L NELSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

NELSON

Business Name

CHRISTOPHER L NELSON

Original Issue Date

02/15/2002

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022