MOHEB NASSIF KHOUZAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

CANCELLED

Business

First Name

MOHEB

Middle

NASSIF

Last Name

KHOUZAM

Suffix

Business Name

MOHEB NASSIF KHOUZAM MD

Original Issue Date

11/16/2000

Effective Date

11/16/2000

Expiration Date

07/31/2002

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006