ADRIAN KATHLEEN NELSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

NOT RENEWED

Business

First Name

ADRIAN

Middle

KATHLEEN

Last Name

NELSON

Business Name

ADRIAN KATHLEEN NELSON

Original Issue Date

08/17/2016

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

ELGIN

State

Zip

60123

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020