LILIAN ENYONAM AHIABLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

LILIAN

Middle

ENYONAM

Last Name

AHIABLE

Business Name

LILIAN ENYONAM AHIABLE MD

Original Issue Date

07/30/2012

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60621

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017