LYDIA ROSE ENGWENYU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139344

License Status

NOT RENEWED

Business

First Name

LYDIA

Middle

ROSE

Last Name

ENGWENYU

Suffix

Business Name

LYDIA ROSE ENGWENYU MD

Original Issue Date

11/06/2015

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021