FARDOWS OMAR SALIM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065806

License Status

EXPIRED

Business

Title

First Name

FARDOWS

Middle

OMAR

Last Name

SALIM

Business Name

FARDOWS OMAR SALIM MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017