EBENEZER S BEDIAKO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117863

License Status

ACTIVE

Business

First Name

EBENEZER

Middle

Last Name

BEDIAKO

Suffix

Business Name

EBENEZER S BEDIAKO MD

Original Issue Date

03/19/2007

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

LAFAYETTE

State

Zip

70508

County

LOUISIANA

Ever Disciplined

LastModifiedDate

04/19/2023