SOFIANE EL DJOUZI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

SOFIANE

Last Name

EL DJOUZI

Suffix

Business Name

SOFIANE EL DJOUZI MD

Original Issue Date

09/28/2016

Effective Date

09/28/2016

Expiration Date

07/31/2017

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020