HARRISON HASANUDDIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169087

License Status

ACTIVE

Business

Title

First Name

HARRISON

Last Name

HASANUDDIN

Business Name

HARRISON HASANUDDIN DO

Original Issue Date

03/04/2024

Effective Date

03/04/2024

Expiration Date

07/31/2026

City

MONTEREY PARK

State

Zip

91754

Ever Disciplined

LastModifiedDate

09/24/2023