NECHOLAS GHANNAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

NECHOLAS

Last Name

GHANNAM

Suffix

Business Name

NECHOLAS GHANNAM MD

Original Issue Date

10/12/2004

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023