WALID MOHAMED B OMAR Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

First Name

WALID MOHAMED

Middle

Last Name

OMAR

Business Name

WALID MOHAMED B OMAR

Original Issue Date

07/20/2004

Effective Date

07/20/2004

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008