MAHMOUD K MAHAFZAH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

MAHMOUD K

Last Name

MAHAFZAH

Business Name

MAHMOUD K MAHAFZAH

Original Issue Date

08/09/1995

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023