BRENT MICHAEL NATHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

BRENT

Middle

MICHAEL

Last Name

NATHAN

Business Name

BRENT MICHAEL NATHAN MD

Original Issue Date

11/16/2017

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

BANNOCKBURN

State

Zip

60015

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023