EBEHIREME EKANEM IBAZEBO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155070

License Status

NOT RENEWED

Business

Title

First Name

EBEHIREME

Middle

EKANEM

Last Name

IBAZEBO

Business Name

EBEHIREME EKANEM IBAZEBO MD

Original Issue Date

12/17/2020

Effective Date

12/17/2020

Expiration Date

07/31/2023

City

SILVIS

State

Zip

61282

Ever Disciplined

LastModifiedDate

11/30/2023