OMMAR TIN HLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

OMMAR TIN

Last Name

HLA

Suffix

Business Name

OMMAR TIN HLA MD

Original Issue Date

08/30/1995

Effective Date

08/30/1995

Expiration Date

07/31/1996

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020