HEITHAM TALAL HASSOUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111760

License Status

NOT RENEWED

Business

First Name

HEITHAM

Middle

TALAL

Last Name

HASSOUN

Suffix

Business Name

HEITHAM TALAL HASSOUN MD

Original Issue Date

07/02/2004

Effective Date

07/02/2004

Expiration Date

07/31/2005

City

HOUSTON

State

Zip

77005

County

TEXAS

Ever Disciplined

LastModifiedDate

10/30/2013