MAZEN KHERALLAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083445

License Status

ACTIVE

Business

First Name

MAZEN

Last Name

KHERALLAH

Suffix

Business Name

MAZEN KHERALLAH MD

Original Issue Date

09/11/1991

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Ever Disciplined

LastModifiedDate

03/14/2025