JONATHAN D SLATER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069214

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

SLATER

Suffix

Business Name

JONATHAN D SLATER DO

Original Issue Date

08/09/1984

Effective Date

05/31/2017

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1994003171

Action

Reprimand

Discipline Start Date

06/23/1994

Discipline Reason

License issued with reprimand after being disciplined in North Carolina.