NOOR IDILBI WAZZAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077051

License Status

EXPIRED

Business

Title

First Name

NOOR

Last Name

IDILBI WAZZAN

Business Name

NOOR IDILBI WAZZAN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Endocrinology-Diabetes-Metabolism

Ever Disciplined

LastModifiedDate

10/11/2022