MAMDOUH H HASSABALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

MAMDOUH H

Last Name

HASSABALLA

Suffix

Business Name

MAMDOUH H HASSABALLA MD

Original Issue Date

10/18/1984

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

RIVERWOODS

State

Zip

60015

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023