IVAN NGANG ZAMA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048833

License Status

CANCELLED

Business

First Name

IVAN

Middle

NGANG

Last Name

ZAMA

Suffix

Business Name

IVAN NGANG ZAMA MD

Original Issue Date

11/15/2004

Effective Date

11/15/2004

Expiration Date

11/14/2007

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006