ALAAELDIN A OMAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

CANCELLED

Business

First Name

ALAAELDIN A

Last Name

OMAR

Suffix

Business Name

ALAAELDIN A OMAR MD

Original Issue Date

12/18/2002

Effective Date

12/18/2002

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006