NWABUNDO IFEYINWA ANUSIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

Title

First Name

NWABUNDO

Middle

IFEYINWA

Last Name

ANUSIM

Business Name

NWABUNDO IFEYINWA ANUSIM MD

Original Issue Date

11/12/2013

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60605

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023