JENNA MARIE NATHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

JENNA

Middle

MARIE

Last Name

NATHAN

Business Name

JENNA MARIE NATHAN MD

Original Issue Date

03/16/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023