KHONDAKAR ABUL HASANAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

KHONDAKAR

Middle

ABUL

Last Name

HASANAT

Suffix

Business Name

KHONDAKAR ABUL HASANAT MD

Original Issue Date

02/14/2000

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020