NIZAR Y DABOUL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

CANCELLED

Business

First Name

NIZAR Y

Last Name

DABOUL

Suffix

Business Name

NIZAR Y DABOUL MD

Original Issue Date

08/19/1996

Effective Date

08/19/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006