Tariq Halasa

Medical doctor

Des Peres, United States

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Full name

Tariq Halasa

Job Title

Medical Doctor

Location

Des Peres, MO, USA

LIC ID

169667

Current License Expiration Date

31/01/2026

Original Date

28/08/2023

Professional Rank Code

Effective Date

28/08/2023

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

Out of State

Practice Location Address Line 1

12847 12847 Daylight dr, apt 1403

Practice Location Address City

DES PERES

Practice Location Address State

Practice Location Address Zipcode

63131

Mode Code

Dispensing Practitioner

Prescribing Indicator

Dispensing Indicator

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