RUBA KHADER AZZAM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

RUBA

Middle

KHADER

Last Name

AZZAM

Business Name

RUBA KHADER AZZAM

Original Issue Date

12/05/2002

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023