NANAEFUA B AFOH MANIN - Medical Doctor License in Illinois | # 125054260

NANAEFUA B AFOH MANIN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054260

License Status

EXPIRED

Business

N

First Name

NANAEFUA

Middle

B

Last Name

AFOH MANIN

Business Name

NANAEFUA B AFOH MANIN

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

07/19/2011