MEGAN ELIZABETH VAN NATTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059993

License Status

CANCELLED

Business

Title

First Name

MEGAN

Middle

ELIZABETH

Last Name

VAN NATTA

Business Name

MEGAN ELIZABETH VAN NATTA MD

Original Issue Date

06/22/2014

Effective Date

06/22/2014

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014