BILAL ALI MOHAMED DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068964

License Status

CANCELLED

Business

Title

First Name

BILAL

Middle

ALI

Last Name

MOHAMED

Business Name

BILAL ALI MOHAMED DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

06/01/2016