NATHANIEL J SOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110453

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

Last Name

SOPER

Suffix

Business Name

NATHANIEL J SOPER MD

Original Issue Date

11/14/2003

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021