AYESHA M HASAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078996

License Status

CANCELLED

Business

Title

First Name

AYESHA

Middle

Last Name

HASAN

Business Name

AYESHA M HASAN DO

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

06/20/2024

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/16/2021