ARIF AZAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

ARIF

Last Name

AZAM

Suffix

Business Name

ARIF AZAM MD

Original Issue Date

04/28/2000

Effective Date

06/09/2008

Expiration Date

07/31/2011

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020