UAIYE ABBY ENOSOLEASE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083373

License Status

ACTIVE

Business

Title

First Name

UAIYE

Middle

ABBY

Last Name

ENOSOLEASE

Business Name

UAIYE ABBY ENOSOLEASE MD

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

06/25/2027

City

SPRINGFIELD

State

Zip

62701

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/24/2024