OOMMEN A JOSEPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

OOMMEN A

Last Name

JOSEPH

Suffix

Business Name

OOMMEN A JOSEPH MD

Original Issue Date

08/11/1993

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014