ANDEM E EKPENYONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

ANDEM

Middle

Last Name

EKPENYONG

Suffix

Business Name

ANDEM E EKPENYONG MD

Original Issue Date

05/07/1999

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023