YAZAN JAMAL MAZAHREH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054074

License Status

CANCELLED

Business

Title

First Name

YAZAN

Middle

JAMAL

Last Name

MAZAHREH

Business Name

YAZAN JAMAL MAZAHREH MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/06/2008