NATHAN GAUSE DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083031

License Status

ACTIVE

Business

Title

First Name

NATHAN

Middle

GAUSE

Last Name

DAVIS

Business Name

NATHAN GAUSE DAVIS MD

Original Issue Date

07/10/2023

Effective Date

07/10/2023

Expiration Date

07/09/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/10/2023