REDOUANE GOULMAMINE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

CANCELLED

Business

First Name

REDOUANE

Last Name

GOULMAMINE

Suffix

Business Name

REDOUANE GOULMAMINE MD

Original Issue Date

08/22/2003

Effective Date

08/22/2003

Expiration Date

07/31/2005

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006