RAPHAEL IWEBUNDR AGADA MD

Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )

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 The license is no longer active.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 (Schedules II III IIN IIIN IV V )
  • Status: Not Renewed
  • Date Granted: 10/19/1999 (over 25 years ago)
  • Expiry Date: 07/31/2002 (over 22 years ago)

LOCATIONS

A Address

SPARTA, IL 62286