OMAR FASIH AHMED DO - Medical Doctor License in Illinois | # 125069838

OMAR FASIH AHMED DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069838

License Status

CANCELLED

Business

N

Title

DO

First Name

OMAR

Middle

FASIH

Last Name

AHMED

Business Name

OMAR FASIH AHMED DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

04/10/2017