FATIMA NURUL HASAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

ACTIVE

Business

First Name

FATIMA

Last Name

NURUL HASAN

Business Name

FATIMA NURUL HASAN

Original Issue Date

02/08/2022

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60077

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025