EDRESS OTHMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110789

License Status

NOT RENEWED

Business

First Name

EDRESS

Last Name

OTHMAN

Suffix

Business Name

EDRESS OTHMAN MD

Original Issue Date

02/06/2004

Effective Date

06/04/2008

Expiration Date

07/31/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/14/2011