HAZEM MOHAMMED AHMED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

HAZEM

Middle

MOHAMMED

Last Name

AHMED

Suffix

Business Name

HAZEM MOHAMMED AHMED MD

Original Issue Date

07/23/2009

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020