LYDIA ROSE ENGWENYU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056560

License Status

EXPIRED

Business

First Name

LYDIA

Middle

ROSE

Last Name

ENGWENYU

Suffix

Business Name

LYDIA ROSE ENGWENYU MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012