SHADWAN FAWZEE ALSAFWAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

SHADWAN

Middle

FAWZEE

Last Name

ALSAFWAH

Suffix

Business Name

SHADWAN FAWZEE ALSAFWAH MD

Original Issue Date

08/31/1998

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023