TARIQ I HASSAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

TARIQ

Middle

Last Name

HASSAN

Suffix

Business Name

TARIQ I HASSAN MD

Original Issue Date

06/15/1988

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

DARIEN

State

Zip

60561

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023