JESSICA IMUETINYAN OBEAHON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074254

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

IMUETINYAN

Last Name

OBEAHON

Business Name

JESSICA IMUETINYAN OBEAHON MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2020