FIRASATH HASAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

FIRASATH

Last Name

HASAN

Suffix

Business Name

FIRASATH HASAN MD

Original Issue Date

05/06/1992

Effective Date

05/06/1992

Expiration Date

07/31/1996

City

MARENGO

State

Zip

60152

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020