IFELUNWA MIRIAM OSANAKPO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086896

License Status

ACTIVE

Business

Title

First Name

IFELUNWA

Middle

MIRIAM

Last Name

OSANAKPO

Business Name

IFELUNWA MIRIAM OSANAKPO MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/17/2025