DAVID HENRI NATHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

DAVID

Middle

HENRI

Last Name

NATHAN

Suffix

Business Name

DAVID HENRI NATHAN MD

Original Issue Date

06/24/2005

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023