IMAD A AL-AZEM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077505

License Status

INACTIVE

Business

First Name

IMAD A

Last Name

AL-AZEM

Suffix

Business Name

IMAD A AL-AZEM MD

Original Issue Date

07/29/1988

Effective Date

07/29/1988

Expiration Date

07/31/1990

City

FARMINGTON HILLS

State

Zip

48331

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006