NINO USANETASHVILI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147400

License Status

ACTIVE

Business

Title

First Name

NINO

Last Name

USANETASHVILI

Business Name

NINO USANETASHVILI MD

Original Issue Date

09/10/2018

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

Ever Disciplined

LastModifiedDate

04/12/2023