MALIK MUHAMMAD HASAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046148

License Status

NOT RENEWED

Business

First Name

MALIK MUHAMMAD

Last Name

HASAN

Suffix

Business Name

MALIK MUHAMMAD HASAN MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

City

PUEBLO

State

Zip

81004

County

COLORADO

Ever Disciplined

LastModifiedDate

09/20/2006