DIDI EHIDIAME OMIYI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

DIDI

Middle

EHIDIAME

Last Name

OMIYI

Business Name

DIDI EHIDIAME OMIYI MD

Original Issue Date

08/06/2014

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023