SAFWAN KASSAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

CANCELLED

Business

First Name

SAFWAN

Last Name

KASSAS

Suffix

Business Name

SAFWAN KASSAS MD

Original Issue Date

09/22/1999

Effective Date

09/22/1999

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006