BAHAA ABDEL-FATTAH AL-AZZAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070717

License Status

CANCELLED

Business

Title

First Name

BAHAA

Middle

ABDEL-FATTAH

Last Name

AL-AZZAM

Business Name

BAHAA ABDEL-FATTAH AL-AZZAM MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2017