IBE O IBE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055992

License Status

NOT RENEWED

Business

First Name

IBE O

Last Name

IBE

Suffix

Business Name

IBE O IBE MD

Original Issue Date

11/10/1977

Effective Date

11/10/1977

Expiration Date

07/31/2005

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006