BAHAA ABDEL-FATTAH AL-AZZAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150404

License Status

ACTIVE

Business

Title

First Name

BAHAA

Middle

ABDEL-FATTAH

Last Name

AL-AZZAM

Business Name

BAHAA ABDEL-FATTAH AL-AZZAM MD

Original Issue Date

08/03/2019

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

04/06/2023