NATHAN DAVID BLOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120830

License Status

NOT RENEWED

Business

Title

First Name

NATHAN

Middle

DAVID

Last Name

BLOCK

Business Name

NATHAN DAVID BLOCK MD

Original Issue Date

05/12/2008

Effective Date

05/12/2008

Expiration Date

07/31/2011

City

APPLE VALLEY

State

Zip

55124

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/14/2011