OMAR ROGER OTHMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053849

License Status

CANCELLED

Business

Title

First Name

OMAR

Middle

ROGER

Last Name

OTHMAN

Business Name

OMAR ROGER OTHMAN MD

Original Issue Date

09/01/2007

Effective Date

09/01/2007

Expiration Date

08/31/2009

City

ORLAND PARK

State

Zip

60462

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/27/2007