AHMAD MOHAMED HASSAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068947

License Status

CANCELLED

Business

Title

First Name

AHMAD

Middle

MOHAMED

Last Name

HASSAN

Business Name

AHMAD MOHAMED HASSAN MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/17/2016