OSEMWOTA A OMOIGUI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

OSEMWOTA A

Last Name

OMOIGUI

Business Name

OSEMWOTA A OMOIGUI

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

07/31/1993

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006