WALID NASRI GHANTOUS 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

First Name

WALID NASRI

Last Name

GHANTOUS

Suffix

Business Name

WALID NASRI GHANTOUS MD

Original Issue Date

10/06/2005

Effective Date

05/19/2008

Expiration Date

07/31/2011

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020