OMAR DALLOULL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028946

License Status

EXPIRED

Business

First Name

OMAR

Last Name

DALLOULL

Suffix

Business Name

OMAR DALLOULL MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006