MAZEN KHALIL ABUAWAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

MAZEN

Middle

KHALIL

Last Name

ABUAWAD

Suffix

Business Name

MAZEN KHALIL ABUAWAD MD

Original Issue Date

06/08/2001

Effective Date

06/08/2001

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020