OMAR ABDULFATTAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153801

License Status

ACTIVE

Business

Title

First Name

OMAR

Last Name

ABDULFATTAH

Business Name

OMAR ABDULFATTAH MD

Original Issue Date

07/22/2020

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/10/2023