MUNACHISO AMANDA NGENE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085341

License Status

ACTIVE

Business

Title

First Name

MUNACHISO

Middle

AMANDA

Last Name

NGENE

Business Name

MUNACHISO AMANDA NGENE MD

Original Issue Date

06/30/2025

Effective Date

06/30/2025

Expiration Date

06/29/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/28/2025