BASSAM M MAAZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

First Name

BASSAM M

Last Name

MAAZ

Suffix

Business Name

BASSAM M MAAZ MD

Original Issue Date

08/22/1991

Effective Date

08/22/1991

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006