NATHANIEL H PAE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

NATHANIEL H

Last Name

PAE

Suffix

Business Name

NATHANIEL H PAE MD

Original Issue Date

02/20/1996

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023