HATEM HAMDY MAHMOUD HASSABALLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064885

License Status

CANCELLED

Business

Title

First Name

HATEM

Middle

HAMDY MAHMOUD

Last Name

HASSABALLA

Business Name

HATEM HAMDY MAHMOUD HASSABALLA MD

Original Issue Date

07/22/2015

Effective Date

07/22/2015

Expiration Date

07/21/2017

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/03/2015