EYAS O OTHMAN 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

First Name

EYAS

Middle

Last Name

OTHMAN

Suffix

Business Name

EYAS O OTHMAN MD

Original Issue Date

11/27/2002

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021