HASSAN A KIESO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

HASSAN A

Last Name

KIESO

Suffix

Business Name

HASSAN A KIESO MD

Original Issue Date

01/02/1996

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023