OSSAMA M TAWAKOL OSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074110

License Status

NOT RENEWED

Business

First Name

OSSAMA M TAWAKOL

Last Name

OSMAN

Suffix

Business Name

OSSAMA M TAWAKOL OSMAN MD

Original Issue Date

11/10/1986

Effective Date

11/10/1986

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006