AMENYEDU PATRON ADOVOR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

AMENYEDU

Middle

PATRON

Last Name

ADOVOR

Business Name

AMENYEDU PATRON ADOVOR DO

Original Issue Date

04/12/2016

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023