NNANEME C MGBODILLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033985

License Status

EXPIRED

Business

First Name

NNANEME

Middle

Last Name

MGBODILLE

Suffix

Business Name

NNANEME C MGBODILLE MD

Original Issue Date

12/07/1995

Effective Date

12/07/1995

Expiration Date

12/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006