Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****50

NOT RENEWED

N

MD

MARJORIE

M

NWOSU

MARJORIE M NWOSU MD

11/12/2009

07/14/2014

07/31/2017

MATTOON

IL

61938

COLES

PRACTITIONER

II III IV V

N

11/01/2017