MOHAMED HASSABALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

MOHAMED

Last Name

HASSABALLA

Business Name

MOHAMED HASSABALLA MD

Original Issue Date

06/23/2021

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023