NWABUNDO IFEYINWA ANUSIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058994

License Status

NOT RENEWED

Business

Title

First Name

NWABUNDO

Middle

IFEYINWA

Last Name

ANUSIM

Business Name

NWABUNDO IFEYINWA ANUSIM MD

Original Issue Date

11/15/2010

Effective Date

11/15/2010

Expiration Date

11/14/2013

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/15/2010