TAREK IBRAHIM HASSABALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

TAREK

Middle

IBRAHIM

Last Name

HASSABALLA

Business Name

TAREK IBRAHIM HASSABALLA MD

Original Issue Date

08/10/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023