ABDALLA HASSAN ABDALLA HASSAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

ABDALLA

Middle

HASSAN ABDALLA

Last Name

HASSAN

Business Name

ABDALLA HASSAN ABDALLA HASSAN MD

Original Issue Date

04/29/2022

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023