OSAZEE EMMANUEL OVIAWE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069698

License Status

CANCELLED

Business

Title

First Name

OSAZEE

Middle

EMMANUEL

Last Name

OVIAWE

Business Name

OSAZEE EMMANUEL OVIAWE MD

Original Issue Date

07/22/2016

Effective Date

07/22/2016

Expiration Date

07/21/2019

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/22/2016