FATIMA SULEMAN HATIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

FATIMA

Middle

SULEMAN

Last Name

HATIA

Business Name

FATIMA SULEMAN HATIA MD

Original Issue Date

12/22/2014

Effective Date

12/22/2014

Expiration Date

07/31/2017

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017