OMID GHALAMBOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

OMID

Last Name

GHALAMBOR

Suffix

Business Name

OMID GHALAMBOR MD

Original Issue Date

03/21/2006

Effective Date

06/20/2014

Expiration Date

07/31/2017

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017