IMO A EBONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122513

License Status

NOT RENEWED

Business

First Name

IMO

Middle

Last Name

EBONG

Suffix

Business Name

IMO A EBONG MD

Original Issue Date

01/28/2009

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

TUCSON

State

Zip

85712

Ever Disciplined

LastModifiedDate

01/14/2021