CAROLINE MODUPE AMAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114097

License Status

NOT RENEWED

Business

First Name

CAROLINE

Middle

MODUPE

Last Name

AMAO

Suffix

Business Name

CAROLINE MODUPE AMAO MD

Original Issue Date

07/01/2005

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

OMAHA

State

Zip

68116

County

NEBRASKA

Ever Disciplined

LastModifiedDate

11/17/2014