AGHA BABA BABANOURY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

CANCELLED

Business

First Name

AGHA

Middle

BABA

Last Name

BABANOURY

Suffix

Business Name

AGHA BABA BABANOURY MD

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006