NATHAN TAYLOR BATES DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070828

License Status

CANCELLED

Business

First Name

NATHAN

Middle

TAYLOR

Last Name

BATES

Suffix

Business Name

NATHAN TAYLOR BATES DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/01/2017