NATHAN THOMAS GEORGETTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070910

License Status

EXPIRED

Business

Title

First Name

NATHAN

Middle

THOMAS

Last Name

GEORGETTE

Business Name

NATHAN THOMAS GEORGETTE MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022