JUSTIN O OGBEVOEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

JUSTIN O

Last Name

OGBEVOEN

Suffix

Business Name

JUSTIN O OGBEVOEN MD

Original Issue Date

10/21/1992

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023