BAHAA ABDEL-FATTAH AL-AZZAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

BAHAA

Middle

ABDEL-FATTAH

Last Name

AL-AZZAM

Business Name

BAHAA ABDEL-FATTAH AL-AZZAM MD

Original Issue Date

11/13/2019

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023