ABDUL HANNAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074024

License Status

CANCELLED

Business

Title

First Name

ABDUL

Last Name

HANNAN

Business Name

ABDUL HANNAN MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

SPRINGFIELD

State

Zip

62701

Specialty/Qualifier

Hematology and Oncology

Ever Disciplined

LastModifiedDate

05/30/2019