NATHANIEL VERNON GEORGE Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****49

License Status

CANCELLED

Business

First Name

NATHANIEL

Middle

VERNON

Last Name

GEORGE

Business Name

NATHANIEL VERNON GEORGE

Original Issue Date

01/10/2020

Effective Date

01/10/2020

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

01/10/2020