MICHAEL D NATHAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048444

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

NATHAN

Suffix

Business Name

MICHAEL D NATHAN DO

Original Issue Date

10/06/1973

Effective Date

10/06/1973

Expiration Date

07/01/1982

City

RINGWOOD

State

Zip

07456

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006