OBIOMA GODSWILL ATUFUNWA - Physician Assistant License in Illinois | # 085007120

OBIOMA GODSWILL ATUFUNWA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007120

License Status

NOT RENEWED

Business

N

First Name

OBIOMA

Middle

GODSWILL

Last Name

ATUFUNWA

Business Name

OBIOMA GODSWILL ATUFUNWA

Original Issue Date

07/23/2019

Effective Date

07/23/2019

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020