NICOLAS FARES KETTANEH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133560

License Status

ACTIVE

Business

Title

First Name

NICOLAS

Middle

FARES

Last Name

KETTANEH

Business Name

NICOLAS FARES KETTANEH MD

Original Issue Date

07/19/2013

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LA GRANGE

State

Zip

60525

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/06/2023