OM D SHARMA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

CANCELLED

Business

First Name

OM D

Last Name

SHARMA

Suffix

Business Name

OM D SHARMA MD

Original Issue Date

10/15/1996

Effective Date

10/15/1996

Expiration Date

07/31/1999

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006