MAZEN SANOUFA MD Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000516

License Status

NOT RENEWED

Business

Title

First Name

MAZEN

Last Name

SANOUFA

Business Name

MAZEN SANOUFA MD

Original Issue Date

10/27/2016

Effective Date

04/30/2022

Expiration Date

04/30/2024

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025