OMAR AHMED RAFA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086172

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

AHMED

Last Name

RAFA

Business Name

OMAR AHMED RAFA DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Cardiology

Ever Disciplined

LastModifiedDate

05/29/2025