HUSAM HAFZAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

HUSAM

Last Name

HAFZAH

Business Name

HUSAM HAFZAH MD

Original Issue Date

12/02/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023