AGHA BABA BABANOURY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

AGHA

Middle

BABA

Last Name

BABANOURY

Suffix

Business Name

AGHA BABA BABANOURY MD

Original Issue Date

06/06/1984

Effective Date

06/06/1984

Expiration Date

07/31/2002

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006