JOHN M NIELSEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004542

License Status

NOT RENEWED

Business

First Name

JOHN M

Last Name

NIELSEN

Business Name

JOHN M NIELSEN

Original Issue Date

06/13/1991

Effective Date

01/07/2023

Expiration Date

02/28/2025

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/21/2026