HERBERT OSITA EZUGHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130507

License Status

NOT RENEWED

Business

Title

First Name

HERBERT

Middle

OSITA

Last Name

EZUGHA

Business Name

HERBERT OSITA EZUGHA MD

Original Issue Date

06/07/2012

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021