LYDIA ROSE ENGWENYU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

LYDIA

Middle

ROSE

Last Name

ENGWENYU

Suffix

Business Name

LYDIA ROSE ENGWENYU MD

Original Issue Date

02/04/2016

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021