OMAR FASIH AHMED DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

FASIH

Last Name

AHMED

Business Name

OMAR FASIH AHMED DO

Original Issue Date

07/26/2019

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023