DAVID L NELSON DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004768

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

NELSON

Suffix

DPM

Business Name

DAVID L NELSON DPM

Original Issue Date

05/20/1996

Effective Date

11/14/2016

Expiration Date

01/31/2019

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

11/14/2016