AFOMA PHOEBE EZIDINMA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050951

License Status

EXPIRED

Business

Title

First Name

AFOMA

Middle

PHOEBE

Last Name

EZIDINMA

Business Name

AFOMA PHOEBE EZIDINMA MD

Original Issue Date

06/22/2006

Effective Date

06/22/2006

Expiration Date

06/21/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009