INNOCENT N UBUNAMA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112583

License Status

NOT RENEWED

Business

First Name

INNOCENT

Middle

Last Name

UBUNAMA

Suffix

Business Name

INNOCENT N UBUNAMA DO

Original Issue Date

10/29/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

11/06/2008