HUMZA S AZAM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000624

License Status

NOT RENEWED

Business

Title

First Name

HUMZA

Middle

Last Name

AZAM

Business Name

HUMZA S AZAM DO

Original Issue Date

03/10/2015

Effective Date

03/10/2015

Expiration Date

09/09/2015

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

01/07/2016