JENNIFER EILEEN NATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131653

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

EILEEN

Last Name

NATHAN

Business Name

JENNIFER EILEEN NATHAN MD

Original Issue Date

10/26/2012

Effective Date

10/26/2012

Expiration Date

07/31/2014

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014