EBEHIREME EKANEM IBAZEBO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****22

NOT RENEWED

N

MD

EBEHIREME

EKANEM

IBAZEBO

EBEHIREME EKANEM IBAZEBO MD

12/21/2020

12/21/2020

07/31/2023

CHESTERBROOK

PA

19087

PRACTITIONER

II III IV V

N

11/30/2023