ANNETTE RAQUEL NATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094966

License Status

NOT RENEWED

Business

First Name

ANNETTE RAQUEL

Last Name

NATHAN

Suffix

Business Name

ANNETTE RAQUEL NATHAN MD

Original Issue Date

03/06/1997

Effective Date

03/06/1997

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

45503

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006