ALEX NAGEL OURTH

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****86

ACTIVE

N

ALEX

NAGEL

OURTH

ALEX NAGEL OURTH

08/14/2025

02/19/2026

03/01/2028

BOWEN

IL

62316

HANCOCK

II III IV V

N

02/19/2026