DEBORAH NDEGO NWOSU DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

CANCELLED

Business

First Name

DEBORAH

Middle

NDEGO

Last Name

NWOSU

Suffix

DMD

Business Name

DEBORAH NDEGO NWOSU DMD

Original Issue Date

12/15/2004

Effective Date

12/15/2004

Expiration Date

09/30/2006

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006