MINA HAFZALAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117289

License Status

NOT RENEWED

Business

First Name

MINA

Last Name

HAFZALAH

Business Name

MINA HAFZALAH

Original Issue Date

12/12/2006

Effective Date

06/30/2020

Expiration Date

07/31/2023

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023