OMAR A DURRA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035615

License Status

EXPIRED

Business

First Name

OMAR

Middle

Last Name

DURRA

Business Name

OMAR A DURRA

Original Issue Date

03/13/1997

Effective Date

03/13/1997

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006