HAITHAM HASSAN AHMED HASSANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146447

License Status

ACTIVE

Business

Title

First Name

HAITHAM

Middle

HASSAN AHMED

Last Name

HASSANE

Business Name

HAITHAM HASSAN AHMED HASSANE MD

Original Issue Date

06/15/2018

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/03/2023