JONATHAN DATAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066873

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Last Name

DATAR

Business Name

JONATHAN DATAR MD

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

06/21/2019

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/10/2018