NATHANIEL CONNORS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

INOPERATIVE

Business

First Name

NATHANIEL

Last Name

CONNORS

Business Name

NATHANIEL CONNORS

Original Issue Date

08/17/2021

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023