DAVID L NELSON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

NELSON

Suffix

DPM

Business Name

DAVID L NELSON DPM

Original Issue Date

06/14/1996

Effective Date

12/09/2016

Expiration Date

01/31/2019

City

GENESEO

State

Zip

61254

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019