SAMER AHMAD ALI-HASAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

SAMER

Middle

AHMAD

Last Name

ALI-HASAN

Suffix

Business Name

SAMER AHMAD ALI-HASAN MD

Original Issue Date

07/12/2022

Effective Date

07/12/2022

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62769

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023