RACHEED MOHD WATHEN ATASSI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

RACHEED

Middle

MOHD WATHEN

Last Name

ATASSI

Business Name

RACHEED MOHD WATHEN ATASSI

Original Issue Date

02/21/2003

Effective Date

02/21/2003

Expiration Date

07/31/2005

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006