RAPHAEL IWEBUNDR AGADA MD

Licensed Physician Controlled Substance

Illinois  336061837   Not Renewed

This Illinois license was held by RAPHAEL IWEBUNDR AGADA MD. The license is no longer active. It was granted on 10/19/1999 and expired on 07/31/2002

LICENSE DETAILS

  • License Number: 336061837
  • Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
  • Status: Not Renewed
  • Date Granted: 10/19/1999 (almost 27 years ago)
  • Expiry Date: 07/31/2002 (almost 24 years ago)

LOCATIONS

A Address

SPARTA, IL 62286