NEFOUS K NABULSI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

NEFOUS

Middle

Last Name

NABULSI

Business Name

NEFOUS K NABULSI

Original Issue Date

10/16/1998

Effective Date

10/16/1998

Expiration Date

07/31/1999

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006