EJIROGHENE EDERIENE AKPOFURE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049953

License Status

CANCELLED

Business

First Name

EJIROGHENE

Middle

EDERIENE

Last Name

AKPOFURE

Suffix

Business Name

EJIROGHENE EDERIENE AKPOFURE MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006