NATHAN R GOYMERAC Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

CANCELLED

Business

First Name

NATHAN

Middle

Last Name

GOYMERAC

Business Name

NATHAN R GOYMERAC

Original Issue Date

01/20/2006

Effective Date

01/20/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006