NATHAN EVAN THOMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137359

License Status

NOT RENEWED

Business

Title

First Name

NATHAN

Middle

EVAN

Last Name

THOMPSON

Business Name

NATHAN EVAN THOMPSON MD

Original Issue Date

02/19/2015

Effective Date

02/19/2015

Expiration Date

07/31/2017

City

WAUWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017