HANAA JAMAL ZIDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

HANAA

Middle

JAMAL

Last Name

ZIDAN

Suffix

Business Name

HANAA JAMAL ZIDAN MD

Original Issue Date

08/22/2005

Effective Date

08/22/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008