FAKHRUDDIN HASTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024377

License Status

EXPIRED

Business

First Name

FAKHRUDDIN

Last Name

HASTA

Business Name

FAKHRUDDIN HASTA

Original Issue Date

07/03/1989

Effective Date

07/03/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006