MOHAMED OSAMA HEIKAL 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

MOHAMED

Middle

OSAMA

Last Name

HEIKAL

Suffix

Business Name

MOHAMED OSAMA HEIKAL MD

Original Issue Date

05/02/2007

Effective Date

05/02/2007

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011