KHIDIR O ABDALLA OSMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

CANCELLED

Business

First Name

KHIDIR

Middle

O ABDALLA

Last Name

OSMAN

Suffix

Business Name

KHIDIR O ABDALLA OSMAN MD

Original Issue Date

10/07/1999

Effective Date

10/07/1999

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006