NORMAN NATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046259

License Status

NOT RENEWED

Business

First Name

NORMAN

Last Name

NATHAN

Suffix

Business Name

NORMAN NATHAN MD

Original Issue Date

08/17/1972

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021