OMAR ALBERTO OLIVEROS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

ALBERTO

Last Name

OLIVEROS

Business Name

OMAR ALBERTO OLIVEROS MD

Original Issue Date

05/09/2018

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023