ETHAN ALLEN NATELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042274

License Status

NOT RENEWED

Business

First Name

ETHAN ALLEN

Last Name

NATELSON

Suffix

Business Name

ETHAN ALLEN NATELSON MD

Original Issue Date

12/20/1968

Effective Date

12/20/1968

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006