BURHAN UL HASSAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

BURHAN

Middle

Last Name

HASSAN

Business Name

BURHAN UL HASSAN MD

Original Issue Date

05/21/2021

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023