JEFFREY W NATHANSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

NATHANSON

Suffix

Business Name

JEFFREY W NATHANSON MD

Original Issue Date

10/30/2001

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023