PAUL EDOSA AIFESEHI MD - Medical Doctor License in Illinois | # 125075290

PAUL EDOSA AIFESEHI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075290

License Status

CANCELLED

Business

N

Title

MD

First Name

PAUL

Middle

EDOSA

Last Name

AIFESEHI

Business Name

PAUL EDOSA AIFESEHI MD

Original Issue Date

07/08/2019

Effective Date

07/08/2019

Expiration Date

07/07/2020

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

07/08/2019