OMAR HASAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137644

License Status

NOT RENEWED

Business

Title

First Name

OMAR

Last Name

HASAN

Business Name

OMAR HASAN DO

Original Issue Date

03/24/2015

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021