OBIOMA GODSWILL ATUFUNWA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007120

License Status

NOT RENEWED

Business

First Name

OBIOMA

Middle

GODSWILL

Last Name

ATUFUNWA

Business Name

OBIOMA GODSWILL ATUFUNWA

Original Issue Date

07/23/2019

Effective Date

07/23/2019

Expiration Date

03/01/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/24/2020