HASSAN AZIZ AHMAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

HASSAN

Middle

AZIZ

Last Name

AHMAD

Business Name

HASSAN AZIZ AHMAD MD

Original Issue Date

08/29/2018

Effective Date

08/29/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021