THEOPHILUS O CHUKWUEKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029066

License Status

EXPIRED

Business

First Name

THEOPHILUS O

Last Name

CHUKWUEKE

Suffix

Business Name

THEOPHILUS O CHUKWUEKE MD

Original Issue Date

07/24/1992

Effective Date

07/24/1992

Expiration Date

07/22/1993

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006