HESHAM A WAZWAZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037607

License Status

EXPIRED

Business

First Name

HESHAM

Middle

Last Name

WAZWAZ

Business Name

HESHAM A WAZWAZ

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/21/2001

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006