NATHAN R GOYMERAC Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044934

License Status

EXPIRED

Business

First Name

NATHAN

Middle

Last Name

GOYMERAC

Business Name

NATHAN R GOYMERAC

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/17/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006