NATHAN SAMUEL WHITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105688

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

SAMUEL

Last Name

WHITE

Suffix

Business Name

NATHAN SAMUEL WHITE MD

Original Issue Date

10/05/2001

Effective Date

10/05/2001

Expiration Date

07/31/2005

City

FARMINGTON HILLS

State

Zip

48334

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006