IMRAN HASANUDDIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053652

License Status

CANCELLED

Business

First Name

IMRAN

Last Name

HASANUDDIN

Suffix

Business Name

IMRAN HASANUDDIN MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/06/2010