NATHAN ROBERT MOHR MD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002166183-0003

License Status

NOT RENEWED

Business

Title

First Name

NATHAN

Middle

ROBERT

Last Name

MOHR

Business Name

NATHAN ROBERT MOHR MD

Original Issue Date

07/31/2009

Effective Date

07/31/2009

Expiration Date

10/01/2011

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/04/2011