JONATHAN DATAR MD - Medical Doctor License in Illinois | # 036149619

JONATHAN DATAR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149619

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JONATHAN

Last Name

DATAR

Business Name

JONATHAN DATAR MD

Original Issue Date

06/11/2019

Effective Date

06/11/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021