RAZAN GAAFAR DAFALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

RAZAN

Middle

GAAFAR

Last Name

DAFALLA

Business Name

RAZAN GAAFAR DAFALLA MD

Original Issue Date

07/16/2020

Effective Date

08/04/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2023