SAMUEL S EZENWA MD LTD Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004696

License Status

NOT RENEWED

Business

Business Name

SAMUEL S EZENWA MD LTD

Original Issue Date

08/01/1981

Effective Date

08/01/1981

Expiration Date

01/01/1985

City

EAST ST LOUIS

State

Zip

62201

County

MADISON

Ever Disciplined

LastModifiedDate

09/26/2006