ANN OVBIYE IDEMUNDIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

ANN

Middle

OVBIYE

Last Name

IDEMUNDIA

Business Name

ANN OVBIYE IDEMUNDIA MD

Original Issue Date

10/19/2018

Effective Date

10/19/2018

Expiration Date

09/30/2020

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021