WALID NASRI GHANTOUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

WALID NASRI

Last Name

GHANTOUS

Suffix

Business Name

WALID NASRI GHANTOUS MD

Original Issue Date

03/06/1992

Effective Date

03/06/1992

Expiration Date

07/31/2002

City

NILES

State

Zip

60648

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020