KHALED MAMDOUH HASSAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067900

License Status

CANCELLED

Business

Title

First Name

KHALED

Middle

MAMDOUH

Last Name

HASSAN

Business Name

KHALED MAMDOUH HASSAN MD

Original Issue Date

08/01/2015

Effective Date

08/01/2015

Expiration Date

07/31/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/23/2015