NATHAN PAUL HANNEMANN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166809

License Status

ACTIVE

Business

Title

First Name

NATHAN

Middle

PAUL

Last Name

HANNEMANN

Business Name

NATHAN PAUL HANNEMANN DO

Original Issue Date

08/30/2023

Effective Date

08/30/2023

Expiration Date

07/31/2026

City

PHOENIX

State

Zip

85018

Ever Disciplined

LastModifiedDate

09/29/2023