NATHANIEL LOUIS SPURGEON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

LOUIS

Last Name

SPURGEON

Business Name

NATHANIEL LOUIS SPURGEON

Original Issue Date

03/22/2022

Effective Date

03/22/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025