DJAMEL BOUAZZA MD - Medical Doctor License in Illinois | # 036101890

DJAMEL BOUAZZA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101890

License Status

NOT RENEWED

Business

N

First Name

DJAMEL

Last Name

BOUAZZA

Suffix

MD

Business Name

DJAMEL BOUAZZA MD

Original Issue Date

02/01/2000

Effective Date

02/01/2000

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

12/17/2007