NATHAN TAYLOR BATES DO - Medical Doctor License in Illinois | # 125070828

NATHAN TAYLOR BATES DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070828

License Status

CANCELLED

Business

N

First Name

NATHAN

Middle

TAYLOR

Last Name

BATES

Suffix

DO

Business Name

NATHAN TAYLOR BATES DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

06/01/2017