RAED BARGOUT Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

CANCELLED

Business

First Name

RAED

Last Name

BARGOUT

Business Name

RAED BARGOUT

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

07/31/2005

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011