AUGUST ANTHONY NATALIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122634

License Status

NOT RENEWED

Business

First Name

AUGUST

Middle

ANTHONY

Last Name

NATALIE

Suffix

Business Name

AUGUST ANTHONY NATALIE MD

Original Issue Date

02/18/2009

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

MUSKEGO

State

Zip

53150

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014