HERATCH OHANNES DOUMANIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

HERATCH

Middle

OHANNES

Last Name

DOUMANIAN

Business Name

HERATCH OHANNES DOUMANIAN MD

Original Issue Date

06/13/2006

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021