OMAR MCTABI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066740

License Status

EXPIRED

Business

Title

First Name

OMAR

Last Name

MCTABI

Business Name

OMAR MCTABI DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

PUEBLO

State

Zip

81003

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018