VIVIAN C AGUMADU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075337

License Status

CANCELLED

Business

Title

First Name

VIVIAN

Middle

Last Name

AGUMADU

Business Name

VIVIAN C AGUMADU MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

DALLAS

State

Zip

75254

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

12/06/2019