NICKSON O OMBORO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080447

License Status

EXPIRED

Business

Title

First Name

NICKSON

Middle

Last Name

OMBORO

Business Name

NICKSON O OMBORO MD

Original Issue Date

06/26/2022

Effective Date

06/26/2022

Expiration Date

06/25/2025

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2025