MAZIN NOORI FATTOUHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

MAZIN

Middle

NOORI

Last Name

FATTOUHI

Business Name

MAZIN NOORI FATTOUHI MD

Original Issue Date

01/07/2016

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023