HASAN FARID HASAN OTHMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

HASAN

Middle

FARID HASAN

Last Name

OTHMAN

Business Name

HASAN FARID HASAN OTHMAN MD

Original Issue Date

04/22/2022

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023