CARLINE MEKEM MBEUMO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

CARLINE

Middle

MEKEM

Last Name

MBEUMO

Business Name

CARLINE MEKEM MBEUMO MD

Original Issue Date

04/20/2016

Effective Date

06/24/2020

Expiration Date

07/31/2023

City

MARION

State

Zip

62959

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023