ANN OVBIYE IDEMUNDIA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147590

License Status

INACTIVE

Business

Title

First Name

ANN

Middle

OVBIYE

Last Name

IDEMUNDIA

Business Name

ANN OVBIYE IDEMUNDIA MD

Original Issue Date

10/16/2018

Effective Date

10/16/2018

Expiration Date

09/30/2020

City

SMITHVILLE

State

Zip

64089

Ever Disciplined

LastModifiedDate

09/29/2020