TIMOTHY O EHIABOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

Last Name

EHIABOR

Business Name

TIMOTHY O EHIABOR MD

Original Issue Date

12/14/2016

Effective Date

12/14/2016

Expiration Date

07/31/2017

City

PENSACOLA

State

Zip

32504

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017