BASSAM M MAAZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073420

License Status

INACTIVE

Business

First Name

BASSAM M

Last Name

MAAZ

Suffix

Business Name

BASSAM M MAAZ MD

Original Issue Date

08/07/1986

Effective Date

08/07/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006