ALA J ALBAZZAZ MD - Medical Doctor License in Illinois | # 125016425

ALA J ALBAZZAZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016425

License Status

EXPIRED

Business

N

First Name

ALA

Middle

J

Last Name

ALBAZZAZ

Suffix

MD

Business Name

ALA J ALBAZZAZ MD

Original Issue Date

10/12/1983

Effective Date

10/12/1983

Expiration Date

06/27/1985

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006