WADAH A ATASSI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

WADAH

Middle

Last Name

ATASSI

Business Name

WADAH A ATASSI MD

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

07/31/2008

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020