NATHANIEL H PAE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029277

License Status

EXPIRED

Business

First Name

NATHANIEL H

Last Name

PAE

Suffix

Business Name

NATHANIEL H PAE MD

Original Issue Date

04/21/1993

Effective Date

04/21/1993

Expiration Date

06/21/1996

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006