OSSAMA M TAWAKOL OSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

OSSAMA M TAWAKOL

Last Name

OSMAN

Suffix

Business Name

OSSAMA M TAWAKOL OSMAN MD

Original Issue Date

08/08/1991

Effective Date

08/08/1991

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006