NATHANIEL BLOODWORTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

NATHANIEL

Last Name

BLOODWORTH

Business Name

NATHANIEL BLOODWORTH MD

Original Issue Date

12/06/2024

Effective Date

12/06/2024

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/06/2024