BADI EDMOND EL OSTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

BADI

Middle

EDMOND

Last Name

EL OSTA

Business Name

BADI EDMOND EL OSTA

Original Issue Date

12/15/2006

Effective Date

07/01/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014