NATHAN ROBERT MOHR MD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED FCMA SECOND

License Number

002165994-0022

License Status

NOT RENEWED

Business

Title

First Name

NATHAN

Middle

ROBERT

Last Name

MOHR

Business Name

NATHAN ROBERT MOHR MD

Original Issue Date

04/10/2009

Effective Date

04/10/2009

Expiration Date

10/01/2009

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/14/2009