ALIZA HASAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076821

License Status

EXPIRED

Business

Title

First Name

ALIZA

Last Name

HASAN

Business Name

ALIZA HASAN MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2024

City

CHATHAM

State

Zip

62629

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/30/2024