BIBI WASILA OMAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051786

License Status

EXPIRED

Business

First Name

BIBI

Middle

WASILA

Last Name

OMAR

Suffix

Business Name

BIBI WASILA OMAR MD

Original Issue Date

06/25/2006

Effective Date

06/25/2006

Expiration Date

06/24/2009

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009