PRICE PAUL OMONDI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

PRICE

Middle

PAUL

Last Name

OMONDI

Suffix

Business Name

PRICE PAUL OMONDI DO

Original Issue Date

12/13/1999

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

CASEYVILLE

State

Zip

62232

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021