NATHAN ROBERT MOHR MD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164869-0010

License Status

NOT RENEWED

Business

Title

First Name

NATHAN

Middle

ROBERT

Last Name

MOHR

Business Name

NATHAN ROBERT MOHR MD

Original Issue Date

08/28/2006

Effective Date

08/28/2006

Expiration Date

10/01/2007

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/08/2007