GARY NATHAN NAKKEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064398

License Status

EXPIRED

Business

First Name

GARY

Middle

NATHAN

Last Name

NAKKEN

Suffix

Business Name

GARY NATHAN NAKKEN DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017