NESSRINE HUSSEIN KTAICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

NESSRINE

Middle

HUSSEIN

Last Name

KTAICH

Business Name

NESSRINE HUSSEIN KTAICH MD

Original Issue Date

12/06/2018

Effective Date

12/06/2018

Expiration Date

09/30/2020

City

JACKSON

State

Zip

49201

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021