CARRIE NOELLE NELSON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

Title

DPM

First Name

CARRIE

Middle

NOELLE

Last Name

NELSON

Business Name

CARRIE NOELLE NELSON DPM

Original Issue Date

07/27/1999

Effective Date

12/15/2024

Expiration Date

01/31/2027

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025