NINO USANETASHVILI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

NINO

Last Name

USANETASHVILI

Business Name

NINO USANETASHVILI MD

Original Issue Date

04/17/2019

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023