ELLEN C OMI MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****00

ACTIVE

N

ELLEN

C

OMI

MD

ELLEN C OMI MD

05/03/2006

06/28/2023

07/31/2026

OAK LAWN

IL

60453

COOK

II III IV V

N

06/28/2023