NNENNA YVONNE EZEILO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064900

License Status

EXPIRED

Business

Title

First Name

NNENNA

Middle

YVONNE

Last Name

EZEILO

Business Name

NNENNA YVONNE EZEILO MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

07/27/2019

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/02/2019