EBEHIREME EKANEM IBAZEBO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065062

License Status

EXPIRED

Business

Title

First Name

EBEHIREME

Middle

EKANEM

Last Name

IBAZEBO

Business Name

EBEHIREME EKANEM IBAZEBO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

BETTENDORF

State

Zip

52722

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017