NATHANIEL MARK PASCUAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

MARK

Last Name

PASCUAL

Suffix

Business Name

NATHANIEL MARK PASCUAL MD

Original Issue Date

07/20/1998

Effective Date

07/22/2011

Expiration Date

07/31/2014

City

COLORADO SPRINGS

State

Zip

80921

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014