AMENYEDU PATRON ADOVOR DO - Medical Doctor License in Illinois | # 125062654

AMENYEDU PATRON ADOVOR DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062654

License Status

CANCELLED

Business

N

Title

DO

First Name

AMENYEDU

Middle

PATRON

Last Name

ADOVOR

Business Name

AMENYEDU PATRON ADOVOR DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

05/27/2014