EKENE ANDREA EZENWA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077293

License Status

CANCELLED

Business

Title

First Name

EKENE

Middle

ANDREA

Last Name

EZENWA

Business Name

EKENE ANDREA EZENWA MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

12/17/2020