KEVIN F NELSON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001806

License Status

INACTIVE

Business

First Name

KEVIN

Middle

Last Name

NELSON

Business Name

KEVIN F NELSON

Original Issue Date

07/15/2002

Effective Date

07/15/2002

Expiration Date

03/01/2006

City

DE PERE

State

Zip

54115

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006