IDEDINOBI U ENI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033885

License Status

EXPIRED

Business

First Name

IDEDINOBI

Middle

Last Name

ENI

Suffix

Business Name

IDEDINOBI U ENI MD

Original Issue Date

08/15/1995

Effective Date

08/15/1995

Expiration Date

08/14/1998

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006