FIZZA DEEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

FIZZA

Last Name

DEEN

Business Name

FIZZA DEEN MD

Original Issue Date

08/18/2014

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

DOWNERS GROOVE

State

Zip

60516

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023