FADI ANIS GHADBAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

FADI

Middle

ANIS

Last Name

GHADBAN

Business Name

FADI ANIS GHADBAN MD

Original Issue Date

12/16/2023

Effective Date

12/16/2023

Expiration Date

07/31/2026

City

GENESEO

State

Zip

61254

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2023