GWENDOLINE AKWEN FONEBI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060500

License Status

EXPIRED

Business

Title

First Name

GWENDOLINE

Middle

AKWEN

Last Name

FONEBI

Business Name

GWENDOLINE AKWEN FONEBI MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

06/25/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015