WALID NASRI GHANTOUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

WALID NASRI

Last Name

GHANTOUS

Suffix

Business Name

WALID NASRI GHANTOUS MD

Original Issue Date

08/17/2004

Effective Date

08/17/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60648

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020