IVIE DORIS ESANGBEDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127120

License Status

NOT RENEWED

Business

First Name

IVIE

Middle

DORIS

Last Name

ESANGBEDO

Suffix

Business Name

IVIE DORIS ESANGBEDO MD

Original Issue Date

01/24/2011

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

DALLAS

State

Zip

75201

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

01/14/2021