NATHAN RAY MAUREN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005866

License Status

ACTIVE

Business

First Name

NATHAN

Middle

RAY

Last Name

MAUREN

Business Name

NATHAN RAY MAUREN

Original Issue Date

01/13/2020

Effective Date

01/15/2025

Expiration Date

01/31/2027

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

02/26/2025