WATCOUN-NCHINDA EDWARD PISOH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060513

License Status

CANCELLED

Business

Title

First Name

WATCOUN-NCHINDA

Middle

EDWARD

Last Name

PISOH

Business Name

WATCOUN-NCHINDA EDWARD PISOH MD

Original Issue Date

06/27/2011

Effective Date

06/27/2011

Expiration Date

06/26/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014