NATHANIEL DAVID STETSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054092

License Status

EXPIRED

Business

Title

First Name

NATHANIEL

Middle

DAVID

Last Name

STETSON

Business Name

NATHANIEL DAVID STETSON DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

07/19/2011