OBI O EKWENNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135672

License Status

NOT RENEWED

Business

Title

First Name

OBI

Middle

Last Name

EKWENNA

Business Name

OBI O EKWENNA MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/01/2017