BIBI WASILA OMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

BIBI

Middle

WASILA

Last Name

OMAR

Suffix

Business Name

BIBI WASILA OMAR MD

Original Issue Date

11/05/2008

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

CHATHAM

State

Zip

62629

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017