JENNA MARIE NATHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065616

License Status

CANCELLED

Business

Title

First Name

JENNA

Middle

MARIE

Last Name

NATHAN

Business Name

JENNA MARIE NATHAN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/29/2014