AMENYEDU PATRON ADOVOR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062654

License Status

CANCELLED

Business

Title

First Name

AMENYEDU

Middle

PATRON

Last Name

ADOVOR

Business Name

AMENYEDU PATRON ADOVOR DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/27/2014