OSMUND UGOCHUKWU AGBO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

OSMUND

Middle

UGOCHUKWU

Last Name

AGBO

Business Name

OSMUND UGOCHUKWU AGBO MD

Original Issue Date

09/20/2012

Effective Date

09/20/2012

Expiration Date

07/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014