FAITH IJEOMA MADUKA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080294

License Status

CANCELLED

Business

Title

First Name

FAITH

Middle

IJEOMA

Last Name

MADUKA

Business Name

FAITH IJEOMA MADUKA MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/01/2025