HASSAN HAISSAM AMHAZ MD - Medical Doctor License in Pennsylvania | # 036142148

HASSAN HAISSAM AMHAZ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142148

License Status

NOT RENEWED

Business

N

First Name

HASSAN

Middle

HAISSAM

Last Name

AMHAZ

Suffix

MD

Business Name

HASSAN HAISSAM AMHAZ MD

Original Issue Date

12/30/2016

Effective Date

07/28/2020

Expiration Date

07/31/2023

State

PA

Ever Disciplined

N

LastModifiedDate

11/30/2023