Mariam Ahmad Hazem
ActiveCalifornia license A111423
License
- Licensed by
- Medical Board of California
- License number
- A111423
- Status
- Active (Current)
- First issued
- October 15, 2024
- Expires
- December 31, 2026
- License holder
- Mariam Ahmad Hazem
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
7196 Sunnyside Pl
Rancho Cucamonga, CA 91739-5995
Rancho Cucamonga, CA 91739-5995
San Bernardino County