OSAMA ADNAN ZAGHMOUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

OSAMA

Middle

ADNAN

Last Name

ZAGHMOUT

Business Name

OSAMA ADNAN ZAGHMOUT MD

Original Issue Date

11/22/2019

Effective Date

11/22/2019

Expiration Date

09/30/2020

City

MUNSTER

State

Zip

46321

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021