SIDDIQ SYED HASAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111304

License Status

ACTIVE

Business

First Name

SIDDIQ

Middle

SYED

Last Name

HASAN

Business Name

SIDDIQ SYED HASAN

Original Issue Date

05/19/2004

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

06/23/2023