WALTER OMUKO MOGENI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171746

License Status

ACTIVE

Business

Title

First Name

WALTER

Middle

OMUKO

Last Name

MOGENI

Business Name

WALTER OMUKO MOGENI MD

Original Issue Date

08/27/2024

Effective Date

08/27/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

08/27/2024