TAFOR NGWANU BONU MOCHUNGONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158470

License Status

NOT RENEWED

Business

Title

First Name

TAFOR

Middle

NGWANU

Last Name

BONU MOCHUNGONG

Business Name

TAFOR NGWANU BONU MOCHUNGONG MD

Original Issue Date

10/08/2021

Effective Date

10/08/2021

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

Ever Disciplined

LastModifiedDate

11/30/2023