OBIAJULU EZENWABACHILI
Controlled Substance Registration - Physician
Indiana 01049968B Expired
This Indiana license was held by OBIAJULU EZENWABACHILI. The license is no longer active. It was granted on 02/02/1999 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01049968B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/02/1999 (over 25 years ago)
- Expiry Date: 06/30/2001 (almost 23 years ago)
LOCATIONS
A Address
WABASH VALLEY CORRECTIONAL FACILITY, 6908 S OLD US HWY 41, CARLISLE IN 47838