ANEES JAVED OMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

ANEES

Middle

JAVED

Last Name

OMAR

Suffix

Business Name

ANEES JAVED OMAR MD

Original Issue Date

07/28/2004

Effective Date

07/28/2004

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011