ABIODUN N AZIKIWE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

ABIODUN N

Last Name

AZIKIWE

Suffix

Business Name

ABIODUN N AZIKIWE MD

Original Issue Date

03/26/1996

Effective Date

03/26/1996

Expiration Date

07/31/1999

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006