IMRAN HASANUDDIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126648

License Status

NOT RENEWED

Business

First Name

IMRAN

Last Name

HASANUDDIN

Suffix

Business Name

IMRAN HASANUDDIN MD

Original Issue Date

09/14/2010

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023