NASHAAT NESSEIM BOUTROS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

NASHAAT NESSEIM

Last Name

BOUTROS

Suffix

Business Name

NASHAAT NESSEIM BOUTROS MD

Original Issue Date

01/01/1997

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023