SHAHZAD HASAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106794

License Status

INACTIVE

Business

First Name

SHAHZAD

Last Name

HASAN

Business Name

SHAHZAD HASAN

Original Issue Date

04/17/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

POPLAR BLUFF

State

Zip

63901

Ever Disciplined

LastModifiedDate

08/20/2008