MUHAMMAD MAZEN KUDAIMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

MUHAMMAD MAZEN

Last Name

KUDAIMI

Suffix

Business Name

MUHAMMAD MAZEN KUDAIMI MD

Original Issue Date

03/18/1981

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017