KENECHUKWU E NWAFO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048013

License Status

EXPIRED

Business

First Name

KENECHUKWU

Middle

Last Name

NWAFO

Suffix

Business Name

KENECHUKWU E NWAFO MD

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

06/22/2007

City

CARMEL

State

Zip

46032

County

INDIANA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007