SIDDIQ SYED HASAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

SIDDIQ

Middle

SYED

Last Name

HASAN

Business Name

SIDDIQ SYED HASAN

Original Issue Date

06/28/2004

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023