NIZAR N JARJOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

NIZAR N

Last Name

JARJOUR

Suffix

Business Name

NIZAR N JARJOUR MD

Original Issue Date

12/10/2010

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

MADISON

State

Zip

53717

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014