NATHANIEL EARL LANDY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

CANCELLED

Business

First Name

NATHANIEL EARL

Last Name

LANDY

Suffix

Business Name

NATHANIEL EARL LANDY MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/26/2006