NANCY S GHANAYEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

NANCY

Middle

Last Name

GHANAYEM

Business Name

NANCY S GHANAYEM MD

Original Issue Date

09/08/2016

Effective Date

09/08/2016

Expiration Date

07/31/2017

City

ELM GROVE

State

Zip

53122

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020