MAZEN SANOUFA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084337

License Status

CANCELLED

Business

Title

First Name

MAZEN

Last Name

SANOUFA

Business Name

MAZEN SANOUFA MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Transplant Nephrology

Ever Disciplined

LastModifiedDate

10/17/2024