AZZA M ABUGISISA - Medical Doctor License in Illinois | # 038011508

AZZA M ABUGISISA

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011508

License Status

NOT RENEWED

Business

N

First Name

AZZA

Middle

M

Last Name

ABUGISISA

Business Name

AZZA M ABUGISISA

Original Issue Date

08/27/2009

Effective Date

08/01/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021