NATHANIEL DAVID UCHTMANN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062680

License Status

EXPIRED

Business

First Name

NATHANIEL

Middle

DAVID

Last Name

UCHTMANN

Suffix

Business Name

NATHANIEL DAVID UCHTMANN MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

09/19/2017