ESEOSA OLIVE OSAGHAE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078722

License Status

CANCELLED

Business

Title

First Name

ESEOSA

Middle

OLIVE

Last Name

OSAGHAE

Business Name

ESEOSA OLIVE OSAGHAE MD

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

06/20/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/13/2021