SHAMSUL HASAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109408

License Status

NOT RENEWED

Business

First Name

SHAMSUL

Last Name

HASAN

Suffix

Business Name

SHAMSUL HASAN MD

Original Issue Date

06/13/2003

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

WEXFORD

State

Zip

15090

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/01/2017