KHALIL AZEM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045147

License Status

INACTIVE

Business

First Name

KHALIL

Last Name

AZEM

Suffix

Business Name

KHALIL AZEM MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1990

City

OAK BROOK

State

Zip

60521

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006