NATHANAEL CARSON HOGG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001204

License Status

CANCELLED

Business

Title

First Name

NATHANAEL

Middle

CARSON

Last Name

HOGG

Business Name

NATHANAEL CARSON HOGG DO

Original Issue Date

01/15/2018

Effective Date

01/15/2018

Expiration Date

02/14/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

06/15/2018