OSEI KOFI OWUSU 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

Title

First Name

OSEI

Middle

KOFI

Last Name

OWUSU

Business Name

OSEI KOFI OWUSU MD

Original Issue Date

05/06/2009

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017