JONATHAN D SLATER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

SLATER

Suffix

Business Name

JONATHAN D SLATER DO

Original Issue Date

08/24/1984

Effective Date

05/31/2017

Expiration Date

09/30/2020

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021