IKENNA CARL MADUEKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067038

License Status

EXPIRED

Business

Title

First Name

IKENNA

Middle

CARL

Last Name

MADUEKE

Business Name

IKENNA CARL MADUEKE MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

10/11/2022