NATHANIEL GENTRY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125087053

License Status

ACTIVE

Business

Title

First Name

NATHANIEL

Last Name

GENTRY

Business Name

NATHANIEL GENTRY DO

Original Issue Date

07/07/2025

Effective Date

07/07/2025

Expiration Date

07/06/2028

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/07/2025