NATHAN ROBERT MOHR MD - Athletics Professional License in Illinois | # 002166183-0003

NATHAN ROBERT MOHR MD

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002166183-0003

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

07/31/2009

Effective Date

07/31/2009

Expiration Date

10/01/2011

State

IL

Ever Disciplined

N

LastModifiedDate

10/04/2011