MARYAM HELEN HAZEGHAZAM 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

MARYAM

Middle

HELEN

Last Name

HAZEGHAZAM

Business Name

MARYAM HELEN HAZEGHAZAM MD

Original Issue Date

10/23/2018

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023