NATHAN ROBERT MOHR MD - Athletics Professional License in Illinois | # 002164869-0010

NATHAN ROBERT MOHR MD

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002164869-0010

License Status

NOT RENEWED

Business

N

Title

MD

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2007