EYAS O OTHMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108069

License Status

NOT RENEWED

Business

First Name

EYAS

Middle

Last Name

OTHMAN

Suffix

Business Name

EYAS O OTHMAN MD

Original Issue Date

10/24/2002

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021