SUMMER M HASSAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065755

License Status

CANCELLED

Business

First Name

SUMMER

Middle

Last Name

HASSAN

Suffix

Business Name

SUMMER M HASSAN DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Family Practice and OMT

Ever Disciplined

LastModifiedDate

06/13/2014