ALISSA R EROGBOGBO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121413

License Status

NOT RENEWED

Business

Title

First Name

ALISSA

Middle

Last Name

EROGBOGBO

Business Name

ALISSA R EROGBOGBO MD

Original Issue Date

07/03/2008

Effective Date

05/23/2014

Expiration Date

07/31/2017

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/01/2017