OMAR MOHAMMED SALEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

OMAR

Middle

MOHAMMED

Last Name

SALEH

Business Name

OMAR MOHAMMED SALEH MD

Original Issue Date

11/21/2019

Effective Date

11/21/2019

Expiration Date

09/30/2020

City

FAIRFIELD

State

Zip

06824

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021