ERWIN MICHAEL OMENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053946

License Status

NOT RENEWED

Business

First Name

ERWIN MICHAEL

Last Name

OMENS

Suffix

Business Name

ERWIN MICHAEL OMENS MD

Original Issue Date

11/19/1976

Effective Date

11/19/1976

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006