NATHAN RAY MAUREN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****50

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025