NATHANIEL RAY MOXON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080563

License Status

EXPIRED

Business

Title

First Name

NATHANIEL

Middle

RAY

Last Name

MOXON

Business Name

NATHANIEL RAY MOXON MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

06/22/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

11/03/2025