CHIGOLUM C EZE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133004

License Status

NOT RENEWED

Business

Title

First Name

CHIGOLUM

Middle

Last Name

EZE

Business Name

CHIGOLUM C EZE MD

Original Issue Date

05/20/2013

Effective Date

05/10/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021