DAVID LAMONT NIELSON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

LAMONT

Last Name

NIELSON

Suffix

DPM

Business Name

DAVID LAMONT NIELSON DPM

Original Issue Date

07/27/2007

Effective Date

07/27/2007

Expiration Date

01/31/2009

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009