ABIODUN N AZIKIWE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

ABIODUN N

Last Name

AZIKIWE

Suffix

Business Name

ABIODUN N AZIKIWE MD

Original Issue Date

12/13/1999

Effective Date

12/13/1999

Expiration Date

07/31/2002

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006