EFESOMWAN AISIEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138377

License Status

ACTIVE

Business

Title

First Name

EFESOMWAN

Last Name

AISIEN

Business Name

EFESOMWAN AISIEN MD

Original Issue Date

06/18/2015

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

FORT WAYNE

State

Zip

46845

Ever Disciplined

LastModifiedDate

06/07/2023