HASAN FADHIL HAMAD AL-AZZAWI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134872

License Status

NOT RENEWED

Business

Title

First Name

HASAN FADHIL

Middle

HAMAD

Last Name

AL-AZZAWI

Business Name

HASAN FADHIL HAMAD AL-AZZAWI MD

Original Issue Date

03/26/2014

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017