LEMUEL O AIGBIVBALU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

LEMUEL

Middle

Last Name

AIGBIVBALU

Suffix

Business Name

LEMUEL O AIGBIVBALU MD

Original Issue Date

06/15/2005

Effective Date

06/15/2005

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011