HASSAN HAISSAM AMHAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142148

License Status

NOT RENEWED

Business

First Name

HASSAN

Middle

HAISSAM

Last Name

AMHAZ

Suffix

Business Name

HASSAN HAISSAM AMHAZ MD

Original Issue Date

12/30/2016

Effective Date

07/28/2020

Expiration Date

07/31/2023

City

STEELTON

State

Zip

17113

Ever Disciplined

LastModifiedDate

11/30/2023