Information as of 12/13/2019

Last Updated by Licensee on 03/14/2019

Okosun Ehimare Edoro - MD
License#: 
Issue Date: 
2015-02505
12/21/2015
License Status: 
Renewal Date:
Active  
03/26/2020  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 2015-02505 12/21/2015 
Inactive License
Active Supervisee
SuperviseeTypeStatusApproval Date
BODDIE, ELIZABETH NPActive05/25/2019
BROPHY, ERIN NPActive06/18/2019
BRYANT, JANICE NPActive05/29/2019
LAMB, ELIZABETH NPActive08/05/2019
PENLAND, ANGELA NPActive09/26/2019
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