JOB SIEKEI MOGIRE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

JOB

Middle

SIEKEI

Last Name

MOGIRE

Business Name

JOB SIEKEI MOGIRE MD

Original Issue Date

07/02/2024

Effective Date

07/02/2024

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2024