TAREQ ZAZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131045

License Status

ACTIVE

Business

Title

First Name

TAREQ

Last Name

ZAZA

Business Name

TAREQ ZAZA MD

Original Issue Date

08/02/2012

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/08/2023