PRINCE OSAZUWA EHIMAMIEGHO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172524

License Status

ACTIVE

Business

Title

First Name

PRINCE

Middle

OSAZUWA

Last Name

EHIMAMIEGHO

Business Name

PRINCE OSAZUWA EHIMAMIEGHO MD

Original Issue Date

10/28/2024

Effective Date

10/28/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

Ever Disciplined

LastModifiedDate

10/28/2024