NATHANIEL VERNON GEORGE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

VERNON

Last Name

GEORGE

Business Name

NATHANIEL VERNON GEORGE

Original Issue Date

10/15/2019

Effective Date

10/15/2019

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60617

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

03/11/2021