NATHAN MANDEL MOLLBERG DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051876

License Status

EXPIRED

Business

First Name

NATHAN

Middle

MANDEL

Last Name

MOLLBERG

Suffix

Business Name

NATHAN MANDEL MOLLBERG DO

Original Issue Date

07/08/2011

Effective Date

07/08/2011

Expiration Date

07/07/2012

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/29/2012