ALEXANDER J GHANAYEM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

ALEXANDER

Middle

Last Name

GHANAYEM

Suffix

Business Name

ALEXANDER J GHANAYEM MD

Original Issue Date

07/25/1995

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023