ARIF AZAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045146

License Status

NOT RENEWED

Business

First Name

ARIF

Last Name

AZAM

Suffix

Business Name

ARIF AZAM MD

Original Issue Date

02/04/1972

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60515

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/14/2021