NATHANAEL JAMES DOLAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051311

License Status

CANCELLED

Business

First Name

NATHANAEL

Middle

JAMES

Last Name

DOLAN

Suffix

Business Name

NATHANAEL JAMES DOLAN MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CARMI

State

Zip

62821

County

WHITE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006