GABRIEL IKPONMOSA UWAIFO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

GABRIEL

Middle

IKPONMOSA

Last Name

UWAIFO

Business Name

GABRIEL IKPONMOSA UWAIFO MD

Original Issue Date

09/11/2023

Effective Date

09/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2023