NYA ANWANANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036179277

License Status

ACTIVE

Business

Title

First Name

NYA

Last Name

ANWANANE

Business Name

NYA ANWANANE MD

Original Issue Date

03/13/2026

Effective Date

03/13/2026

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/13/2026