NATHAN RHYS GWILLIAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

NATHAN

Middle

RHYS

Last Name

GWILLIAM

Business Name

NATHAN RHYS GWILLIAM MD

Original Issue Date

02/11/2015

Effective Date

02/11/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020