FAIQ AL-BAZZAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044556

License Status

NOT RENEWED

Business

First Name

FAIQ

Last Name

AL-BAZZAZ

Suffix

Business Name

FAIQ AL-BAZZAZ MD

Original Issue Date

08/09/1971

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021