ODUAH D OSARO 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

ODUAH

Middle

Last Name

OSARO

Suffix

Business Name

ODUAH D OSARO MD

Original Issue Date

11/17/1997

Effective Date

11/17/1997

Expiration Date

07/31/2002

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006