STELLA AFESUMEH UGBOMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106519

License Status

NOT RENEWED

Business

First Name

STELLA

Middle

AFESUMEH

Last Name

UGBOMA

Suffix

Business Name

STELLA AFESUMEH UGBOMA MD

Original Issue Date

03/15/2002

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

GRAND RAPIDS

State

Zip

49525

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/17/2014