TALA ENEIZAT ENEIZAT MAHDAWI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157467

License Status

ACTIVE

Business

Title

First Name

TALA

Middle

ENEIZAT

Last Name

ENEIZAT MAHDAWI

Business Name

TALA ENEIZAT ENEIZAT MAHDAWI MD

Original Issue Date

06/22/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

04/06/2023