NDUBUISI C EDEOGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126250

License Status

NOT RENEWED

Business

First Name

NDUBUISI

Middle

Last Name

EDEOGA

Suffix

Business Name

NDUBUISI C EDEOGA MD

Original Issue Date

07/14/2010

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/17/2014