MUTAZZ HAJ DARWEESH 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

MUTAZZ

Last Name

HAJ DARWEESH

Suffix

Business Name

MUTAZZ HAJ DARWEESH MD

Original Issue Date

06/07/2005

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020