HATEM HAMDY MAHMOUD HASSABALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

HATEM

Middle

HAMDY MAHMOUD

Last Name

HASSABALLA

Business Name

HATEM HAMDY MAHMOUD HASSABALLA MD

Original Issue Date

12/13/2017

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023