RAZAN GAAFAR DAFALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

RAZAN

Middle

GAAFAR

Last Name

DAFALLA

Business Name

RAZAN GAAFAR DAFALLA MD

Original Issue Date

08/22/2023

Effective Date

08/22/2023

Expiration Date

07/31/2026

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2023