NATHANIEL WILLIAM NILES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000282

License Status

EXPIRED

Business

First Name

NATHANIEL

Middle

WILLIAM

Last Name

NILES

Suffix

Business Name

NATHANIEL WILLIAM NILES MD

Original Issue Date

04/27/2006

Effective Date

04/27/2006

Expiration Date

12/27/2006

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/26/2007