NATHANIEL HARRIS WEST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

NATHANIEL

Middle

HARRIS

Last Name

WEST

Business Name

NATHANIEL HARRIS WEST MD

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021