JEFF STUART NABONSAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

STUART

Last Name

NABONSAL

Suffix

Business Name

JEFF STUART NABONSAL MD

Original Issue Date

01/18/2005

Effective Date

01/18/2005

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006