MAZEN SANOUFA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172338

License Status

ACTIVE

Business

Title

First Name

MAZEN

Last Name

SANOUFA

Business Name

MAZEN SANOUFA MD

Original Issue Date

10/17/2024

Effective Date

10/17/2024

Expiration Date

07/31/2026

City

HICKORY HILLS

State

Zip

60457

Ever Disciplined

LastModifiedDate

10/17/2024