NATHAN SCOTT SMITH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073201

License Status

EXPIRED

Business

First Name

NATHAN

Middle

SCOTT

Last Name

SMITH

Business Name

NATHAN SCOTT SMITH

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

AURORA

State

Zip

60504

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022