MICHEAL CHUKWUNYEM EZEANA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083611

License Status

ACTIVE

Business

Title

First Name

MICHEAL

Middle

CHUKWUNYEM

Last Name

EZEANA

Business Name

MICHEAL CHUKWUNYEM EZEANA MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2027

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/11/2024