OBONORUMA IMARIABE EKHAESE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114260

License Status

NOT RENEWED

Business

First Name

OBONORUMA

Middle

IMARIABE

Last Name

EKHAESE

Suffix

Business Name

OBONORUMA IMARIABE EKHAESE DO

Original Issue Date

07/26/2005

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

11/14/2011