CARLY BROWNING OBOUDIYAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

CARLY

Middle

BROWNING

Last Name

OBOUDIYAT

Business Name

CARLY BROWNING OBOUDIYAT MD

Original Issue Date

06/11/2014

Effective Date

10/16/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021