HASSAN A KIESO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030787

License Status

EXPIRED

Business

First Name

HASSAN A

Last Name

KIESO

Suffix

Business Name

HASSAN A KIESO MD

Original Issue Date

12/07/1993

Effective Date

12/07/1993

Expiration Date

12/05/1996

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006