MAMDOUH H HASSABALLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016283

License Status

EXPIRED

Business

First Name

MAMDOUH H

Last Name

HASSABALLA

Suffix

Business Name

MAMDOUH H HASSABALLA MD

Original Issue Date

07/26/1983

Effective Date

07/26/1983

Expiration Date

06/27/1985

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006