YAZAN JAMAL MAZAHREH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

YAZAN

Middle

JAMAL

Last Name

MAZAHREH

Business Name

YAZAN JAMAL MAZAHREH MD

Original Issue Date

08/13/2010

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2023