NATHANAEL JAMES DOLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

NATHANAEL

Middle

JAMES

Last Name

DOLAN

Suffix

Business Name

NATHANAEL JAMES DOLAN MD

Original Issue Date

06/09/2009

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CARMI

State

Zip

62821

County

WHITE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023