ANTHONY O AMIEWALAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112019

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

Last Name

AMIEWALAN

Suffix

Business Name

ANTHONY O AMIEWALAN MD

Original Issue Date

08/03/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

04/07/2023

Case Number

2005001273

Action

Reprimand

Discipline Start Date

01/17/2007

Discipline Reason

Disciplined in the state of Ohio.