NATHAN RAY MAUREN Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001024

License Status

CANCELLED

Business

First Name

NATHAN

Middle

RAY

Last Name

MAUREN

Business Name

NATHAN RAY MAUREN

Original Issue Date

07/03/2018

Effective Date

07/03/2018

Expiration Date

07/02/2021

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

07/03/2018