Physician/PA Licensee Details Personal Information 
Licensee Name Nielson, Eric Cline 
Location Birmingham Alabama 
Year of Birth 1964 
License Information 
Type MD 
Status INACTIVE 
License Number MD.16474 
License Description Full Unrestricted MD 
License Issued Date 05/27/1992 
Expire Date 12/31/1994 
Public File NO 
Primary Specialty Unknown 
Secondary Specialty Unknown 
Medical School Name U UT 
Medical School Location  
Medical School Dates 9/86-5/90 
Public File NO 
Alabama Controlled Substances Certificate (ACSC) Information 
ACSC Status INACTIVE 
Issue Date 01/01/1900 
Expiration Date 12/31/1994 
ACSC Description Full Unrestricted ACS 
Restricted Comments NONE 
Dispensing Physician NO 
Collaborative Practice Agreement Information* 
NONE  
Registration Agreement Information 
NONE