WALID MOHAMED B OMAR Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111828

License Status

INACTIVE

Business

First Name

WALID MOHAMED

Middle

Last Name

OMAR

Business Name

WALID MOHAMED B OMAR

Original Issue Date

07/12/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST AUGUSTINE

State

Zip

32092

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/17/2008