MFOWETHU THEOPHILUS LANGENI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171236

License Status

ACTIVE

Business

Title

First Name

MFOWETHU

Middle

THEOPHILUS

Last Name

LANGENI

Business Name

MFOWETHU THEOPHILUS LANGENI DO

Original Issue Date

07/19/2024

Effective Date

07/19/2024

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

04/16/2024