NDUBUISI C EDEOGA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054011

License Status

CANCELLED

Business

First Name

NDUBUISI

Middle

Last Name

EDEOGA

Suffix

Business Name

NDUBUISI C EDEOGA MD

Original Issue Date

06/25/2008

Effective Date

06/25/2008

Expiration Date

06/24/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/29/2008