License holder summary

Ifeanyi Nwobodo Nwobodo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ifeanyi Nwobodo Nwobodo is St. Joseph's Regional medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 11/26/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Ifeanyi Nwobodo Nwobodo
Controlled Substance Registration - Physician
License number
01071881B
Date granted
11/26/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph's Regional medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5895071
LAST UPDATED 2024-02-15 17:03:35 UTC

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