ANAS DAGHESTANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

CANCELLED

Business

First Name

ANAS

Last Name

DAGHESTANI

Suffix

Business Name

ANAS DAGHESTANI MD

Original Issue Date

05/13/1999

Effective Date

05/13/1999

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

09/26/2006