RANDA M HASSAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045356

License Status

NOT RENEWED

Business

First Name

RANDA

Middle

Last Name

HASSAN

Suffix

Business Name

RANDA M HASSAN MD

Original Issue Date

09/16/2005

Effective Date

09/16/2005

Expiration Date

09/15/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Planning

Ever Disciplined

LastModifiedDate

11/03/2006