KHALID A AZZAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134966

License Status

NOT RENEWED

Business

Title

First Name

KHALID

Middle

Last Name

AZZAM

Business Name

KHALID A AZZAM MD

Original Issue Date

04/10/2014

Effective Date

04/10/2020

Expiration Date

09/30/2020

City

SAINT PAUL

State

Zip

55125

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/14/2021