FORTUNE JAMIKE EGBULEFU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148440

License Status

NOT RENEWED

Business

Title

First Name

FORTUNE

Middle

JAMIKE

Last Name

EGBULEFU

Business Name

FORTUNE JAMIKE EGBULEFU MD

Original Issue Date

03/05/2019

Effective Date

03/05/2019

Expiration Date

09/30/2020

City

YORKTOWN

State

Zip

23693

Ever Disciplined

LastModifiedDate

01/14/2021