BENEDICT IKEUDENTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082084

License Status

ACTIVE

Business

Title

First Name

BENEDICT

Last Name

IKEUDENTA

Business Name

BENEDICT IKEUDENTA MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/10/2023