THOMAS JOSEPH HAZENFIELD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082888

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

JOSEPH

Last Name

HAZENFIELD

Business Name

THOMAS JOSEPH HAZENFIELD DO

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/08/2023