MATTHEW NATHAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076266

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Last Name

NATHAN

Business Name

MATTHEW NATHAN DO

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/30/2024