OSSAMA I IKLADIOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126039

License Status

ACTIVE

Business

Title

First Name

OSSAMA

Middle

Last Name

IKLADIOS

Business Name

OSSAMA I IKLADIOS MD

Original Issue Date

06/10/2010

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

07/09/2023