NATHAN MARK DEVENNEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074934

License Status

EXPIRED

Business

Title

First Name

NATHAN

Middle

MARK

Last Name

DEVENNEY

Business Name

NATHAN MARK DEVENNEY MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

07/10/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/06/2024