IZUCHUKWU C NWAFO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119419

License Status

NOT RENEWED

Business

First Name

IZUCHUKWU

Middle

Last Name

NWAFO

Suffix

Business Name

IZUCHUKWU C NWAFO MD

Original Issue Date

09/19/2007

Effective Date

07/22/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2012001312

Action

Suspension

Discipline Start Date

10/27/2016

Discipline Reason

due to being suspended as a provider of Medical Assistance Program by the Illinois Department of Healthcare and Family Services.