FRED FIVEL NATHAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039822

License Status

INACTIVE

Business

First Name

FRED FIVEL

Last Name

NATHAN

Suffix

Business Name

FRED FIVEL NATHAN MD

Original Issue Date

07/01/1965

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

08/19/2008