MAAZA GIRMA G-AMLAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

MAAZA

Middle

GIRMA

Last Name

G-AMLAK

Suffix

Business Name

MAAZA GIRMA G-AMLAK MD

Original Issue Date

04/13/2010

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023