TARIQ U AZAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

TARIQ

Middle

Last Name

AZAM

Business Name

TARIQ U AZAM MD

Original Issue Date

04/08/2022

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

KILDEER

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023