IFEANYICHUKWU OBIAKOR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****36

NOT RENEWED

N

IFEANYICHUKWU

OBIAKOR

MD

IFEANYICHUKWU OBIAKOR MD

08/30/1985

08/30/1985

07/31/1987

ST LOUIS

MO

63108

MISSOURI

II III IV V

N

09/26/2006