HEATHER A NATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

NATH

Suffix

Business Name

HEATHER A NATH MD

Original Issue Date

04/06/1999

Effective Date

04/06/1999

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017