BIBI WASILA OMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122160

License Status

NOT RENEWED

Business

First Name

BIBI

Middle

WASILA

Last Name

OMAR

Suffix

Business Name

BIBI WASILA OMAR MD

Original Issue Date

10/31/2008

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017