NATHANIEL KOO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055280

License Status

CANCELLED

Business

Title

First Name

NATHANIEL

Last Name

KOO

Business Name

NATHANIEL KOO MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/24/2014