STELLA AFESUMEH UGBOMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

STELLA

Middle

AFESUMEH

Last Name

UGBOMA

Suffix

Business Name

STELLA AFESUMEH UGBOMA MD

Original Issue Date

04/12/2002

Effective Date

05/06/2009

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011