HANI ALBOUSHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

HANI

Last Name

ALBOUSHI

Suffix

Business Name

HANI ALBOUSHI MD

Original Issue Date

05/11/2011

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014