NATHAN NEEDHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001471

License Status

EXPIRED

Business

Title

First Name

NATHAN

Last Name

NEEDHAM

Business Name

NATHAN NEEDHAM MD

Original Issue Date

01/23/2023

Effective Date

01/23/2023

Expiration Date

02/05/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/06/2024