KRISTA NICOLE NELSON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

Title

DPM

First Name

KRISTA

Middle

NICOLE

Last Name

NELSON

Business Name

KRISTA NICOLE NELSON DPM

Original Issue Date

07/25/2012

Effective Date

12/31/2024

Expiration Date

01/31/2027

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025