NATHANIEL GOLDIN MEADOW MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069951

License Status

CANCELLED

Business

Title

First Name

NATHANIEL

Middle

GOLDIN

Last Name

MEADOW

Business Name

NATHANIEL GOLDIN MEADOW MD

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

06/21/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/21/2017