OSSAMA M TAWAKOL OSMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016818

License Status

EXPIRED

Business

First Name

OSSAMA M TAWAKOL

Last Name

OSMAN

Suffix

Business Name

OSSAMA M TAWAKOL OSMAN MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

07/01/1986

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006