NIDAL M SHAWAHIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

NIDAL

Middle

Last Name

SHAWAHIN

Business Name

NIDAL M SHAWAHIN

Original Issue Date

11/19/1993

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023