DAVID LEVI NATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

LEVI

Last Name

NATHAN

Suffix

Business Name

DAVID LEVI NATHAN MD

Original Issue Date

08/14/1998

Effective Date

08/14/1998

Expiration Date

07/31/2002

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006