AMMAR HASSAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064606

License Status

EXPIRED

Business

Title

First Name

AMMAR

Last Name

HASSAN

Business Name

AMMAR HASSAN DO

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

LODI

State

Zip

07644

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017