FAAIZA MAHMOUD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

INACTIVE

Business

Title

First Name

FAAIZA

Last Name

MAHMOUD

Business Name

FAAIZA MAHMOUD MD

Original Issue Date

06/02/2014

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020