MOHAMMED IMRAAN AZAM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

MOHAMMED

Middle

IMRAAN

Last Name

AZAM

Business Name

MOHAMMED IMRAAN AZAM DO

Original Issue Date

02/26/2021

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2023