HASSAN HASANEIN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073586

License Status

CANCELLED

Business

First Name

HASSAN

Last Name

HASANEIN

Business Name

HASSAN HASANEIN

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Hematology and Oncology

Ever Disciplined

LastModifiedDate

04/25/2019