MARK A NATHAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024750

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

NATHAN

Business Name

MARK A NATHAN

Original Issue Date

05/08/1990

Effective Date

05/08/1990

Expiration Date

06/23/1993

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2013