OMOVAUDO DIVINE OMO-EBOH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081017

License Status

EXPIRED

Business

Title

First Name

OMOVAUDO

Middle

DIVINE

Last Name

OMO-EBOH

Business Name

OMOVAUDO DIVINE OMO-EBOH MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2025