NATHANIEL ERICK MCINTYRE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

NATHANIEL

Middle

ERICK

Last Name

MCINTYRE

Business Name

NATHANIEL ERICK MCINTYRE MD

Original Issue Date

04/30/2020

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023