MOJABENG PHOOFOLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128677

License Status

NOT RENEWED

Business

Title

First Name

MOJABENG

Last Name

PHOOFOLO

Business Name

MOJABENG PHOOFOLO MD

Original Issue Date

08/02/2011

Effective Date

08/02/2011

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/17/2014