OMAR FAROOQ AHMED DO - Medical Doctor License in Illinois | # 125078765

OMAR FAROOQ AHMED DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078765

License Status

CANCELLED

Business

N

Title

DO

First Name

OMAR

Middle

FAROOQ

Last Name

AHMED

Business Name

OMAR FAROOQ AHMED DO

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

04/26/2021