MICHELLE FAMAKINWA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078895

License Status

CANCELLED

Business

Title

First Name

MICHELLE

Last Name

FAMAKINWA

Business Name

MICHELLE FAMAKINWA MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/07/2021