NATHAN MICHAEL JONES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055771

License Status

CANCELLED

Business

Title

First Name

NATHAN

Middle

MICHAEL

Last Name

JONES

Business Name

NATHAN MICHAEL JONES MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/22/2009