OMAR U MUDALLAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147331

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

Last Name

MUDALLAL

Business Name

OMAR U MUDALLAL MD

Original Issue Date

08/24/2018

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

WILDWOOD

State

Zip

63038

Ever Disciplined

LastModifiedDate

04/06/2023