MARWAN MOUAMMAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

MARWAN

Last Name

MOUAMMAR

Business Name

MARWAN MOUAMMAR

Original Issue Date

01/24/2002

Effective Date

01/24/2002

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006