NATALIE ELIZABETH BOODIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046448

License Status

CANCELLED

Business

First Name

NATALIE

Middle

ELIZABETH

Last Name

BOODIN

Suffix

Business Name

NATALIE ELIZABETH BOODIN MD

Original Issue Date

08/02/2006

Effective Date

08/02/2006

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2008