LAILA I GOMAA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

LAILA I

Last Name

GOMAA

Business Name

LAILA I GOMAA

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

BURR RIDGE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006