CAROLE A NASRALLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

CANCELLED

Business

First Name

CAROLE

Middle

Last Name

NASRALLA

Suffix

Business Name

CAROLE A NASRALLA MD

Original Issue Date

08/29/2000

Effective Date

08/29/2000

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006