FAIQ AL-BAZZAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

FAIQ

Last Name

AL-BAZZAZ

Suffix

Business Name

FAIQ AL-BAZZAZ MD

Original Issue Date

02/24/1986

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60018

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021