MAZEN BASSAM OMAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165907

License Status

ACTIVE

Business

Title

First Name

MAZEN

Middle

BASSAM

Last Name

OMAR

Business Name

MAZEN BASSAM OMAR MD

Original Issue Date

07/13/2023

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/18/2024